The microbiota in inflammatory bowel disease: current and therapeutic insights

Erin R Lane,1 Timothy L Zisman,2 David L Suskind1 1Division of Gastroenterology and Hepatology, Seattle Children’s Hospital, 2Division of Gastroenterology, University of Washington, Seattle, WA, USA Abstract: Inflammatory bowel disease is a heterogeneous group of chronic disorders that res...

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Autores principales: Lane ER, Zisman TL, Suskind DL
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Lenguaje:EN
Publicado: Dove Medical Press 2017
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Acceso en línea:https://doaj.org/article/08ffeb74be7a4c2f898158b410953c3a
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spelling oai:doaj.org-article:08ffeb74be7a4c2f898158b410953c3a2021-12-02T07:59:07ZThe microbiota in inflammatory bowel disease: current and therapeutic insights1178-7031https://doaj.org/article/08ffeb74be7a4c2f898158b410953c3a2017-06-01T00:00:00Zhttps://www.dovepress.com/the-microbiota-in-inflammatory-bowel-disease-current-and-therapeutic-i-peer-reviewed-article-JIRhttps://doaj.org/toc/1178-7031Erin R Lane,1 Timothy L Zisman,2 David L Suskind1 1Division of Gastroenterology and Hepatology, Seattle Children’s Hospital, 2Division of Gastroenterology, University of Washington, Seattle, WA, USA Abstract: Inflammatory bowel disease is a heterogeneous group of chronic disorders that result from the interaction of the intestinal immune system with the gut microbiome. Until recently, most investigative efforts and therapeutic breakthroughs were centered on understanding and manipulating the altered mucosal immune response that characterizes these diseases. However, more recent studies have highlighted the important role of environmental factors, and in particular the microbiota, in disease onset and disease exacerbation. Advances in genomic sequencing technology and bioinformatics have facilitated an explosion of investigative inquiries into the composition and function of the intestinal microbiome in health and disease and have advanced our understanding of the interplay between the gut microbiota and the host immune system. The gut microbiome is dynamic and changes with age and in response to diet, antibiotics and other environmental factors, and these alterations in the microbiome contribute to disease onset and exacerbation. Strategies to manipulate the microbiome through diet, probiotics, antibiotics or fecal microbiota transplantation may potentially be used therapeutically to influence modulate disease activity. This review will characterize the factors involved in the development of the intestinal microbiome and will describe the typical alterations in the microbiota that are characteristic of inflammatory bowel disease. Additionally, this manuscript will summarize the early but promising literature on the role of the gut microbiota in the pathogenesis of inflammatory bowel disease with implications for utilizing this data for diagnostic or therapeutic application in the clinical management of patients with these diseases. Keywords: Crohn’s disease, ulcerative colitis, microbiome, fecal microbiota transplantation, enteral nutrition, specific carbohydrate dietLane ERZisman TLSuskind DLDove Medical PressarticleCrohn’s diseaseUlcerative colitisMicrobiomeFecal Microbiota TransplantationEnteral nutritionPathologyRB1-214Therapeutics. PharmacologyRM1-950ENJournal of Inflammation Research, Vol Volume 10, Pp 63-73 (2017)
institution DOAJ
collection DOAJ
language EN
topic Crohn’s disease
Ulcerative colitis
Microbiome
Fecal Microbiota Transplantation
Enteral nutrition
Pathology
RB1-214
Therapeutics. Pharmacology
RM1-950
spellingShingle Crohn’s disease
Ulcerative colitis
Microbiome
Fecal Microbiota Transplantation
Enteral nutrition
Pathology
RB1-214
Therapeutics. Pharmacology
RM1-950
Lane ER
Zisman TL
Suskind DL
The microbiota in inflammatory bowel disease: current and therapeutic insights
description Erin R Lane,1 Timothy L Zisman,2 David L Suskind1 1Division of Gastroenterology and Hepatology, Seattle Children’s Hospital, 2Division of Gastroenterology, University of Washington, Seattle, WA, USA Abstract: Inflammatory bowel disease is a heterogeneous group of chronic disorders that result from the interaction of the intestinal immune system with the gut microbiome. Until recently, most investigative efforts and therapeutic breakthroughs were centered on understanding and manipulating the altered mucosal immune response that characterizes these diseases. However, more recent studies have highlighted the important role of environmental factors, and in particular the microbiota, in disease onset and disease exacerbation. Advances in genomic sequencing technology and bioinformatics have facilitated an explosion of investigative inquiries into the composition and function of the intestinal microbiome in health and disease and have advanced our understanding of the interplay between the gut microbiota and the host immune system. The gut microbiome is dynamic and changes with age and in response to diet, antibiotics and other environmental factors, and these alterations in the microbiome contribute to disease onset and exacerbation. Strategies to manipulate the microbiome through diet, probiotics, antibiotics or fecal microbiota transplantation may potentially be used therapeutically to influence modulate disease activity. This review will characterize the factors involved in the development of the intestinal microbiome and will describe the typical alterations in the microbiota that are characteristic of inflammatory bowel disease. Additionally, this manuscript will summarize the early but promising literature on the role of the gut microbiota in the pathogenesis of inflammatory bowel disease with implications for utilizing this data for diagnostic or therapeutic application in the clinical management of patients with these diseases. Keywords: Crohn’s disease, ulcerative colitis, microbiome, fecal microbiota transplantation, enteral nutrition, specific carbohydrate diet
format article
author Lane ER
Zisman TL
Suskind DL
author_facet Lane ER
Zisman TL
Suskind DL
author_sort Lane ER
title The microbiota in inflammatory bowel disease: current and therapeutic insights
title_short The microbiota in inflammatory bowel disease: current and therapeutic insights
title_full The microbiota in inflammatory bowel disease: current and therapeutic insights
title_fullStr The microbiota in inflammatory bowel disease: current and therapeutic insights
title_full_unstemmed The microbiota in inflammatory bowel disease: current and therapeutic insights
title_sort microbiota in inflammatory bowel disease: current and therapeutic insights
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/08ffeb74be7a4c2f898158b410953c3a
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AT suskinddl themicrobiotaininflammatoryboweldiseasecurrentandtherapeuticinsights
AT laneer microbiotaininflammatoryboweldiseasecurrentandtherapeuticinsights
AT zismantl microbiotaininflammatoryboweldiseasecurrentandtherapeuticinsights
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