INTESTINE Vol.22 No.3(1)


特集名 病態から考え出されたIBD治療の進歩
題名 IBDの病態
発刊年月 2018年 05月
著者 仲瀬 裕志 札幌医科大学消化器内科学講座
【 要旨 】 炎症性腸疾患(IBD)の病態解明が進むにつれて,新規治療ターゲットとなりうる候補分子が同定されつつある.その発見に従い,IBD関連の多くの薬剤の開発が進んでいる.しかしながら,個別化医療に至る道はまだ険しい.より適切な患者に適切な治療薬が届けられるような治療戦略を行っていくために,今まで以上に病態解明に結びつく研究を推進していく必要がある.腸内細菌,サイトカインなどに関する研究は大きく発展を遂げてきたが,今後,発症機序を考慮するうえで,エピゲノムについても目を向ける必要がある.エピゲノム解析は今後のIBD機序解明においても,重要な役割を果たすことには間違いがない.
Theme Recent advance in the treatment of IBD based on the pathogenesis
Title Pathophysiology of inflammatory bowel disease
Author Hiroshi Nakase Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine
[ Summary ] As the elucidation of the IBD pathophysiology has advanced, candidate molecules used as new therapeutic targets have been identified. Based on these discoveries, many medicines have been developed for IBD patients. However, a rocky road to success for personalized medicine still exists. To carry out treatment strategies which can deliver appropriate therapeutic drugs to appropriate patients, it is necessary to promote research leading to the elucidation of IBD pathophysiology. Research on intestinal bacteria and cytokines has achieved great progress. On the other hand, it is necessary to focus on epigenomes to further clarify the mechanism of disease onset. Undoubtfully, analysis of epigenomes will play an important role in the elucidation of IBD mechanisms.
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