臨牀消化器内科 Vol.22 No.9(5)


特集名 細菌と消化器疾患 -- 病因,病態とその制御に向けて
題名 炎症性腸疾患と腸内細菌
発刊年月 2007年 08月
著者 安藤 朗 滋賀医科大学消化器内科
著者 藤山 佳秀 滋賀医科大学消化器内科
【 要旨 】 消化管には500菌種,1014個に及ぶ腸内細菌が存在するとされ,潰瘍性大腸炎とクローン病に代表される炎症性腸疾患は腸内細菌が豊富に存在する遠位回腸,大腸に好発する.遺伝的素因と関連した過剰な免疫応答の標的の一つが腸内細菌で,慢性腸炎の発症において重要な意味をもつ.本稿では,炎症性腸疾患の病因,病態における腸内細菌叢の意義について概説し,腸内細菌叢を標的とした炎症性腸疾患の治療法を紹介する.
Theme Digestive Diseases Related to Bacteria -- To Understand Etiology and Control of Clinicopathological Conditions
Title IBD and Microbiota
Author Akira Andoh Department of Medicine, Shiga University of Medical Science
Author Yoshihide Fujiyama Department of Medicine, Shiga University of Medical Science
[ Summary ] Inflammatory bowel diseases (IBD), ulcerative colitis (UC) and Crohn's disease (CD), are chronic intestinal disorders of unknown etiology in which, in genetically susceptible individuals, the mucosal immune system shows an aberrant response towards commensal bacteria. The gastrointestinal tract has developed ingenious mechanisms to coexist with its autologous microflora, but rapidly respond to invading pathogens and then return to homeostasis with its commensal bacteria after the pathogenic infection is cleared. If these tightly regulated homeostatic mechanisms are disturbed, chronic intestinal inflammation may be induced. Previous studies have demonstrated that some commensal bacteria are detrimental, and others have no effect or are protective. In addition, each host has a genetically determined response to detrimental or protective bacterial species.
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