Irritable Bowel Syndrome between Molecular Approach and Clinical Expertise-Searching for Gap Fillers in the Oxidative Stress Way of Thinking
| Autor: | Lucian Gorgan, Anca Trifan, Ioana-Miruna Balmus, Mirela Mihaela Cimpeanu, Cristian S. Cimpeanu, Roxana-Oana Cojocariu, Alin Ciobica, Carol Stanciu, Ovidiu-Dumitru Ilie |
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| Rok vydání: | 2019 |
| Předmět: |
Medicine (General)
Review Gut flora Bioinformatics medicine.disease_cause Clinical expertise R5-920 Functional gastrointestinal disorder inflammatory status medicine Affective spectrum Humans Pathological Irritable bowel syndrome irritable bowel syndrome Cellular metabolism biology business.industry General Medicine medicine.disease biology.organism_classification animal models Gastrointestinal Microbiome Gastrointestinal Tract Oxidative Stress predisposition genes business Oxidative stress Stress Psychological Signal Transduction |
| Zdroj: | Medicina Medicina, Vol 56, Iss 1, p 38 (2020) |
| ISSN: | 1648-9144 |
| Popis: | Irritable bowel syndrome (IBS) remains to date an intriguing functional gastrointestinal disorder. Recent studies described a multitude of exogenous factors that work together in IBS, gradually impairing intestinal lining cellular metabolism, including oxidative status balance, with or without a genetic background. Although the current biomarkers support the differentiation between IBS subtypes and other functional gastrointestinal disorder, they are mostly non-specific, referring to clinical, biochemical, and inflammatory imbalances. Since IBS could be also the result of deficient signaling pathways involving both gastrointestinal secretion and neuro-vegetative stimulation, IBS makes no exception from the oxidative hypothesis in the pathological mechanisms. Regarding the oxidative stress implication in IBS, the previous research efforts showed controversial results, with some animal models and patient studies reporting clear oxidative imbalance both on systemic and local levels, but still with no concrete evidence to point to a direct correlation between oxidative stress and IBS. Additionally, it seems that a major role could be also attributed to gut microbiota and their ability to shape our bodies and behaviors. Moreover, the genetic features study in IBS patients showed that several genetic similarities point to a possible correlation of IBS with affective spectrum disorders. Thus, we focus here the discussion on the assumption that IBS could in fact be more likely a stress-related disorder rather than a gastrointestinal one. |
| Databáze: | OpenAIRE |
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