2021
DOI: 10.3748/wjg.v27.i23.3317
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Can control of gut microbiota be a future therapeutic option for inflammatory bowel disease?

Abstract: Inflammatory bowel disease (IBD) is a chronic inflammatory condition of the gastrointestinal tract encompassing two main clinical entities, Crohn’s disease and ulcerative colitis. Accumulated evidence indicates that an aberrant immune activation caused by the interplay of genetic susceptibility and environmental impact on the gut microbiota may be involved in the pathogenesis of IBD. Rapid advances in next-generation sequencing technology have enabled a number of studies to identify the alteration of the gut m… Show more

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Cited by 34 publications
(20 citation statements)
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“…A large clinical trial studied the efficacy of E. coli Nissle 1917 in maintaining the remission after clinical treatment in patients with UC ( n = 120) compared with mesalazine treatment (1,500 mg/day). It was shown that E. coli Nissle 1917 and mesalazine were equivalent in maintaining the remission of UC ( Nishida et al., 2021 ). IBD patients generally present symptoms of iron deficiency, and the iron-deficient intestinal microenvironment is more conducive to the intestinal colonization and curative effect of E. coli Nissle 1917.…”
Section: Microbiota-targeted Treatment In Ibdmentioning
confidence: 99%
“…A large clinical trial studied the efficacy of E. coli Nissle 1917 in maintaining the remission after clinical treatment in patients with UC ( n = 120) compared with mesalazine treatment (1,500 mg/day). It was shown that E. coli Nissle 1917 and mesalazine were equivalent in maintaining the remission of UC ( Nishida et al., 2021 ). IBD patients generally present symptoms of iron deficiency, and the iron-deficient intestinal microenvironment is more conducive to the intestinal colonization and curative effect of E. coli Nissle 1917.…”
Section: Microbiota-targeted Treatment In Ibdmentioning
confidence: 99%
“…Acetic acid produced by bacterial fermentation can be absorbed and utilized by the host and is an important source of host energy, providing about 10% of the total daily energy of the human body. After absorbed by blood, propionic acid catabolizes in the liver, participating in the process of pyruvate reversal into glucose, and may inhibit the synthesis of fat; Butyric acid is mainly used by epithelial cells and is the main energy source of epithelial cells[ 132 ].…”
Section: Tryptophan Metabolismmentioning
confidence: 99%
“…While FMT treatment is mostly safe, a small number of patients have experienced infection and death after the treatment. Therefore, further studies are needed to prove the reliability of FMT treatment for IBD [ 105 ]. Interestingly, supplementary treatment with probiotics ensures the improvement of the intestinal flora, enhancement of intestinal barrier function, a reduction in intestinal inflammation, and a general relief of symptoms in IBD patients [ 106 ].…”
Section: Interaction Between Intestinal Flora and Bile Acidsmentioning
confidence: 99%