It's all in the milk: chondroitin sulfate as potential preventative therapy for necrotizing enterocolitis.

It's all in the milk: chondroitin sulfate as potential preventative therapy for necrotizing enterocolitis.
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DOI:
10.1038/s41390-020-01125-7
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发表时间:
2021-05
期刊:
影响因子:
3.6
通讯作者:
Markel TA
Markel TA
中科院分区:
医学3区
文献类型:
--
作者:
Knowles TA;Hosfield BD;Pecoraro AR;Li H;Shelley WC;Markel TA

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坏死性小肠结肠炎(NEC)是一种破坏性疾病,影响高达5%的NICU入院。风险因素包括早产、低出生体重和抗生素使用。发病机制的特征在于肠缺血、肠坏死、再灌注损伤和败血症的组合,通常导致患病肠的手术切除。有针对性的药物治疗仍然难以捉摸。硫酸软骨素(CS)通过其抗炎特性和对肠道微生物组的保护作用,具有预防NEC发作的潜力。本综述的目的是概述CS的许多特性,以突出其在高危婴儿中的潜在用途,并减轻NEC的严重程度。本综述的目的是1)讨论CS与婴儿微生物组的相互作用,2)审查CS的抗炎特性,3)假设CS在预防坏死性小肠结肠炎中的潜在作用。
Necrotizing enterocolitis (NEC) is a devastating condition affecting up to 5% of NICU admissions. Risk factors include preterm delivery, low birth weight, and antibiotic use. The pathogenesis is characterized by a combination of intestinal ischemia, necrosis of the bowel, reperfusion injury, and sepsis typically resulting in surgical resection of afflicted bowel. Targeted medical therapy remains elusive. Chondroitin sulfate (CS) holds the potential to prevent the onset of NEC through its anti-inflammatory properties and protective effect on the gut microbiome. The purpose of this review is to outline the many properties of CS to highlight its potential use in high risk infants and attenuate the severity of NEC. The purpose of this review is to 1) Discuss the interaction of CS with the infant microbiome, 2) Review the anti-inflammatory properties of CS, and 3) Postulate on the potential role of CS in preventing necrotizing enterocolitis.
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