2007
DOI: 10.1007/s11894-007-0066-4
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Microbial host interactions in IBD: Implications for pathogenesis and therapy

Abstract: Crohn's disease (CD), ulcerative colitis (UC), and pouchitis appear to be caused by pathogenic T-cell responses to discrete antigens from the complex luminal microbiota, with susceptibility conferred by genetic polymorphisms that regulate bacterial killing, mucosal barrier function, or immune responses. Environmental triggers initiate or reactivate inflammation and modulate genetic susceptibility. New pathogenesis concepts include defective bacterial killing by innate immune cells in CD, colonization of the il… Show more

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Cited by 97 publications
(20 citation statements)
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References 131 publications
(117 reference statements)
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“…Once this balance is shifted a dysbiosis in microbiome dynamics occurs that contributes to IBD pathogenesis [1–3]. The importance of a well balanced gastrointestinal microbiota is underlined by the findings in animals such as chickens, mice and rabbits that, when raised in germ-free (GF) or sterile conditions, have underdeveloped GI associated lymphoid tissue (GALT) and concomitant decreases in antibody profiles [25].…”
Section: The Microbiomementioning
confidence: 99%
See 1 more Smart Citation
“…Once this balance is shifted a dysbiosis in microbiome dynamics occurs that contributes to IBD pathogenesis [1–3]. The importance of a well balanced gastrointestinal microbiota is underlined by the findings in animals such as chickens, mice and rabbits that, when raised in germ-free (GF) or sterile conditions, have underdeveloped GI associated lymphoid tissue (GALT) and concomitant decreases in antibody profiles [25].…”
Section: The Microbiomementioning
confidence: 99%
“…However there is significant evidence that the microbiome can drive intestinal inflammation [1]. In patients, intestinal diversion, and resultant reduction in lumenal flora has been successful in amelioration of symptoms of CD.…”
Section: The Microbiomementioning
confidence: 99%
“…The etiopathogenesis of IBD remains unknown but is thought to involve a combination of genetic and non-genetic risk factors that regulate mucosal immune response, mucosal barrier function, and response to microbial factors [7]. Multiple epithelial molecules have been identified as mediators of IBD pathogenesis including those that control epithelial homeostasis [8].…”
Section: Introductionmentioning
confidence: 99%
“…In the IBD-susceptible host, aberrant TLR signaling may contribute to destructive host responses and chronic inflammation, disturbing mucosal and commensal homeostasis and leading to many different clinical phenotypes [25]. Hyperactivation of the adaptive immune system, secondary to TLR deficiency, may drive tissue damage and progressive inflammation in IBD [26,27]. Characterization of different IBD-associated gene defects have highlighted fundamental, defining variability in TLR regulation and function, dependent on disease processes and predominant cell type involvement in the intestinal mucosa [28,29].…”
Section: Introductionmentioning
confidence: 99%