Metabolomics Insights into Inflammatory Bowel Disease: A Comprehensive Review

Inflammatory bowel disease (IBD) is a chronic, complex relapsing disorder characterised by immune dysregulation, gut microbiota alteration, and disturbed intestinal permeability. The diagnosis and the management of IBD are challenging due to the recurrent nature and complex evolution of the disease....

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Autores principales: Laila Aldars-García, Javier P. Gisbert, María Chaparro
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/ae8a106f81ec45f7a3d42d695087862c
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spelling oai:doaj.org-article:ae8a106f81ec45f7a3d42d695087862c2021-11-25T18:40:04ZMetabolomics Insights into Inflammatory Bowel Disease: A Comprehensive Review10.3390/ph141111901424-8247https://doaj.org/article/ae8a106f81ec45f7a3d42d695087862c2021-11-01T00:00:00Zhttps://www.mdpi.com/1424-8247/14/11/1190https://doaj.org/toc/1424-8247Inflammatory bowel disease (IBD) is a chronic, complex relapsing disorder characterised by immune dysregulation, gut microbiota alteration, and disturbed intestinal permeability. The diagnosis and the management of IBD are challenging due to the recurrent nature and complex evolution of the disease. Furthermore, the molecular mechanism underlying the aetiology and pathogenesis of IBD is still poorly understood. There is an unmet need for novel, reliable, and noninvasive tools for diagnosing and monitoring IBD. In addition, metabolomic profiles may provide a priori determination of optimal therapeutics and reveal novel targets for therapies. This review tries to gather scientific evidence to summarise the emerging contribution of metabolomics to elucidate the mechanisms underlying IBD and changes associated with disease phenotype and therapies, as well as to identify biomarkers with metabolic imbalance in those patients. Metabolite changes during health and disease could provide insights into the disease pathogenesis and the discovery of novel indicators for the diagnosis and prognosis assessment of IBD. Metabolomic studies in IBD have shown changes in tricarboxylic acid cycle intermediates, amino-acid and fatty-acid metabolism, and oxidative pathways. Metabolomics has made progress towards identifying metabolic alterations that may provide clinically useful biomarkers and a deeper understanding of the disease. However, at present, there is insufficient evidence evaluating the predictive accuracy of these molecular signatures and their diagnostic ability, which is necessary before metabolomic data can be translated into clinical practice.Laila Aldars-GarcíaJavier P. GisbertMaría ChaparroMDPI AGarticleinflammatory bowel diseasemetabolomicsmicrobiotaMedicineRPharmacy and materia medicaRS1-441ENPharmaceuticals, Vol 14, Iss 1190, p 1190 (2021)
institution DOAJ
collection DOAJ
language EN
topic inflammatory bowel disease
metabolomics
microbiota
Medicine
R
Pharmacy and materia medica
RS1-441
spellingShingle inflammatory bowel disease
metabolomics
microbiota
Medicine
R
Pharmacy and materia medica
RS1-441
Laila Aldars-García
Javier P. Gisbert
María Chaparro
Metabolomics Insights into Inflammatory Bowel Disease: A Comprehensive Review
description Inflammatory bowel disease (IBD) is a chronic, complex relapsing disorder characterised by immune dysregulation, gut microbiota alteration, and disturbed intestinal permeability. The diagnosis and the management of IBD are challenging due to the recurrent nature and complex evolution of the disease. Furthermore, the molecular mechanism underlying the aetiology and pathogenesis of IBD is still poorly understood. There is an unmet need for novel, reliable, and noninvasive tools for diagnosing and monitoring IBD. In addition, metabolomic profiles may provide a priori determination of optimal therapeutics and reveal novel targets for therapies. This review tries to gather scientific evidence to summarise the emerging contribution of metabolomics to elucidate the mechanisms underlying IBD and changes associated with disease phenotype and therapies, as well as to identify biomarkers with metabolic imbalance in those patients. Metabolite changes during health and disease could provide insights into the disease pathogenesis and the discovery of novel indicators for the diagnosis and prognosis assessment of IBD. Metabolomic studies in IBD have shown changes in tricarboxylic acid cycle intermediates, amino-acid and fatty-acid metabolism, and oxidative pathways. Metabolomics has made progress towards identifying metabolic alterations that may provide clinically useful biomarkers and a deeper understanding of the disease. However, at present, there is insufficient evidence evaluating the predictive accuracy of these molecular signatures and their diagnostic ability, which is necessary before metabolomic data can be translated into clinical practice.
format article
author Laila Aldars-García
Javier P. Gisbert
María Chaparro
author_facet Laila Aldars-García
Javier P. Gisbert
María Chaparro
author_sort Laila Aldars-García
title Metabolomics Insights into Inflammatory Bowel Disease: A Comprehensive Review
title_short Metabolomics Insights into Inflammatory Bowel Disease: A Comprehensive Review
title_full Metabolomics Insights into Inflammatory Bowel Disease: A Comprehensive Review
title_fullStr Metabolomics Insights into Inflammatory Bowel Disease: A Comprehensive Review
title_full_unstemmed Metabolomics Insights into Inflammatory Bowel Disease: A Comprehensive Review
title_sort metabolomics insights into inflammatory bowel disease: a comprehensive review
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/ae8a106f81ec45f7a3d42d695087862c
work_keys_str_mv AT lailaaldarsgarcia metabolomicsinsightsintoinflammatoryboweldiseaseacomprehensivereview
AT javierpgisbert metabolomicsinsightsintoinflammatoryboweldiseaseacomprehensivereview
AT mariachaparro metabolomicsinsightsintoinflammatoryboweldiseaseacomprehensivereview
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