Publication details

Nové poznatky v patogenezi Crohnovy choroby

Title in English New knowledge of the pathogenesis of Crohn's disease
Authors

AMBRŮZOVÁ Barbora RÉDOVÁ Martina MICHÁLEK Jaroslav ŠACHLOVÁ M. SLABÝ Ondřej

Year of publication 2012
Type Article in Periodical
Magazine / Source Vnitřní lékařství
MU Faculty or unit

Faculty of Medicine

Citation
Field Immunology
Keywords Crohn’s disease; pathogenesis; NOD2; ATG16L1; IL23; Th17; lymphocytes
Description Crohn’s disease is a complex chronic inflammatory disease of the gastrointestinal tract with multifactorial pathogenesis. Over the recent years, there has been rather a sharp increase in the incidence of Crohn’s disease and, even though this disease had been known for some time, the cause remains unknown. Studies exploring genetic basis of Crohn’s disease have provided new knowledge of the pathogenesis of this disease, suggesting that this may be associated with a failure of mechanisms behind symbiosis of gut microflora and intestinal mucosal immune system. Crohn’s disease seems to be caused by inadequate immune response to intestinal flora in genetically predisposed individuals. Crohn’s disease has been linked to a number of genes. Many of them are related to the modulation of non-specific immune response, defects of which are considered to be key in Crohn’s disease pathogenesis. The aim of this review paper is to summarize the new knowledge on the pathogenesis of Crohn’s disease at the level of polymorphisms of the NOD2, ATG16L1 genes and the IL23-Th17-lymfocytes signalling pathway genes and to consider further research directions in this disease.

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