Environmental enteropathy: critical implications of a poorly understood condition.

Environmental enteropathy: critical implications of a poorly understood condition.
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DOI:
10.1016/j.molmed.2012.04.007
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发表时间:
2012-06
影响因子:
13.6
通讯作者:
Petri WA Jr
Petri WA Jr
中科院分区:
医学1区
文献类型:
--
作者:
Korpe PS;Petri WA Jr

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环境肠病(又称热带肠病)是由持续的粪便-口腔污染引起的一种亚临床状态,导致肠道绒毛钝化和肠道炎症。虽然这些组织学变化是几十年前发现的,但环境肠病的临床影响才刚刚开始被认识到。发展中国家的营养干预和口服疫苗的失败可能归因于环境肠病,因为肠道吸收和免疫功能严重紊乱。在这里,我们回顾了现有的文献,并研究了这种知之甚少的疾病的潜在发病机制。
Environmental enteropathy (also called tropical enteropathy) is a subclinical condition caused by constant fecal-oral contamination and resulting in blunting of intestinal villi and intestinal inflammation. Although these histological changes were discovered decades ago, the clinical impact of environmental enteropathy is just starting to be recognized. The failure of nutritional interventions and oral vaccines in the developing world may be attributed to environmental enteropathy, as the intestinal absorptive and immunologic functions are significantly deranged. Here we review the existing literature and examine potential mechanisms of pathogenesis for this poorly understood condition.
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