The Association of Gut Microbiota and Treg Dysfunction in Autoimmune Diseases.

The Association of Gut Microbiota and Treg Dysfunction in Autoimmune Diseases.
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DOI:
10.1007/978-981-15-6407-9_10
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发表时间:
2021
影响因子:
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中科院分区:
医学4区
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自身免疫性疾病影响了2300万美国人,占美国人口的7%。有超过100种自身免疫性疾病,影响人类的每个主要器官系统。本章旨在进一步解释Treg功能障碍的自身免疫性疾病,包括单基因原发性免疫缺陷,如免疫失调多内分泌病,肠病,X连锁遗传(IPEX)综合征,和多基因自身免疫性疾病与Treg功能障碍,如多发性硬化症(MS),炎症性肠病(IBD)和食物过敏。这些病症与异常的小肠和结肠微生物组有关。一些疾病可以通过针对微生物修饰的疗法(包括益生菌和粪便微生物群移植(FMT))明显改善。预防和治疗这些疾病的方法将需要专注于获得和维持健康的结肠微生物群,以及在急性疾病加重期间更专注于免疫抑制的方法。
Autoimmune conditions affect 23 million Americans or 7% of the US population. There are more than 100 autoimmune disorders, affecting every major organ system in humans. This chapter aims to further explain Treg dysfunction autoimmune disorders, including monogenic primary immune deficiency such as immune dysregulation polyendocrinopathy, enteropathy, X-linked inheritance (IPEX) syndrome, and polygenic autoimmune diseases with Treg dysfunction such as multiple sclerosis (MS), inflammatory bowel disease (IBD), and food allergy. These conditions are associated with an abnormal small intestinal and colonic microbiome. Some disorders clearly improve with therapies aimed at microbial modification, including probiotics and fecal microbiota transplantation (FMT). Approaches to prevent and treat these disorders will need to focus on the acquisition and maintenance of a healthy colonic microbiota, in addition to more focused approaches at immune suppression during acute disease exacerbations.
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