Genetic Factors and the Intestinal Microbiome Guide Development of Microbe-Based Therapies for Inflammatory Bowel Diseases

The intestinal microbiota is a dynamic community of bacteria, fungi, and viruses that mediates mucosal homeostasis and physiology. Imbalances in the microbiome and aberrant immune responses to gut bacteria can disrupt homeostasis and are associated with inflammatory bowel diseases (IBDs) in humans a...

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Veröffentlicht in:Gastroenterology (New York, N.Y. 1943) N.Y. 1943), 2019-06, Vol.156 (8), p.2174-2189
Hauptverfasser: Cohen, Louis J., Cho, Judy H., Gevers, Dirk, Chu, Hiutung
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container_end_page 2189
container_issue 8
container_start_page 2174
container_title Gastroenterology (New York, N.Y. 1943)
container_volume 156
creator Cohen, Louis J.
Cho, Judy H.
Gevers, Dirk
Chu, Hiutung
description The intestinal microbiota is a dynamic community of bacteria, fungi, and viruses that mediates mucosal homeostasis and physiology. Imbalances in the microbiome and aberrant immune responses to gut bacteria can disrupt homeostasis and are associated with inflammatory bowel diseases (IBDs) in humans and colitis in mice. We review genetic variants associated with IBD and their effects on the intestinal microbiome, the immune response, and disease pathogenesis. The intestinal microbiome, which includes microbial antigens, adjuvants, and metabolic products, affects the development and function of the intestinal mucosa, influencing inflammatory responses in the gut. Therefore, strategies to manipulate the microbiome might be used in treatment of IBD. We review microbe-based therapies for IBD and the potential to engineer patients’ intestinal microbiota. We discuss how studies of patients with IBD and mouse models have advanced our understanding of the interactions between genetic factors and the gut microbiome, and challenges to the development of microbe-based therapies for IBD.
doi_str_mv 10.1053/j.gastro.2019.03.017
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subjects Animals
Drugs, Investigational - administration & dosage
Drugs, Investigational - pharmacology
Gastrointestinal Microbiome - genetics
Gastrointestinal Microbiome - immunology
Genome, Human
Host Genetics
Humans
Immunotherapy - methods
Inflammatory Bowel Disease
Inflammatory Bowel Diseases - microbiology
Inflammatory Bowel Diseases - pathology
Inflammatory Bowel Diseases - therapy
Mice
Microbiome
Models, Animal
Mucosal Immunity
Practice Guidelines as Topic
Preclinical Therapies
Prognosis
Treatment Outcome
title Genetic Factors and the Intestinal Microbiome Guide Development of Microbe-Based Therapies for Inflammatory Bowel Diseases
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