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中国精品科技期刊2020
李涛,姜敏,孙铭璐,等. 炎症性肠病的病理分型、发病机制与膳食干预策略研究进展J. 食品工业科技,2026,47(12):1−12. doi: 10.13386/j.issn1002-0306.2025060077.
引用本文: 李涛,姜敏,孙铭璐,等. 炎症性肠病的病理分型、发病机制与膳食干预策略研究进展J. 食品工业科技,2026,47(12):1−12. doi: 10.13386/j.issn1002-0306.2025060077.
LI Tao, JIANG Min, SUN Minglu, et al. Advances in Pathological Classification, Pathogenesis, and Dietary Intervention Strategies for Inflammatory Bowel DiseaseJ. Science and Technology of Food Industry, 2026, 47(12): 1−12. (in Chinese with English abstract). doi: 10.13386/j.issn1002-0306.2025060077.
Citation: LI Tao, JIANG Min, SUN Minglu, et al. Advances in Pathological Classification, Pathogenesis, and Dietary Intervention Strategies for Inflammatory Bowel DiseaseJ. Science and Technology of Food Industry, 2026, 47(12): 1−12. (in Chinese with English abstract). doi: 10.13386/j.issn1002-0306.2025060077.

炎症性肠病的病理分型、发病机制与膳食干预策略研究进展

Advances in Pathological Classification, Pathogenesis, and Dietary Intervention Strategies for Inflammatory Bowel Disease

  • 摘要: 炎症性肠病(Inflammatory bowel diseases,IBD)是一类以慢性肠道炎症为特征的复杂疾病,其全球发病率呈持续上升趋势。IBD的发病机制主要涉及遗传易感性、肠道菌群失调、免疫系统异常及环境因素(如饮食结构)的多因素交互作用。尽管现有药物治疗取得一定进展,但临床缓解和预防复发仍存在严重挑战。膳食干预策略因其良好的安全性和调节肠道微生态的独特优势,在IBD治疗中展现出重要潜力。近年来研究表明,膳食干预通过调节肠道菌群结构、促进短链脂肪酸生成、增强上皮屏障功能及平衡Th17/Treg免疫应答等多途径缓解IBD,兼具多靶向性等优势,为IBD防治策略的创新提供了重要方向。因此,本文系统综述了IBD主要病理分型及发病机制,并重点探讨了膳食功能性寡糖、多糖和益生菌及粪菌移植等干预方法对IBD的调节作用及其机制,为IBD的防治提供新的理论依据和治疗思路。

     

    Abstract: Inflammatory bowel diseases (IBD) are complex disorders characterized by chronic intestinal inflammation, exhibiting a steadily rising global incidence. The pathogenesis of IBD involves multifactorial interactions among genetic susceptibility, gut microbiota dysbiosis, immune dysregulation, and environmental factors (notably dietary patterns). While current pharmacological therapies have advanced, significant challenges persist in achieving sustained clinical remission and preventing relapse. The dietary intervention strategies hold considerable therapeutic potential for IBD management due to their favorable safety profile and unique capacity to modulate the gut microbiome. Recent studies demonstrated that dietary interventions can alleviate IBD through multiple mechanisms, including restructuring the gut microbiota, promoting the production of short-chain fatty acids, enhancing epithelial barrier function, and balancing the immune responses of Th17/Treg. These strategies exhibit multi-target efficacy and offer a promising direction for innovating preventive and therapeutic approaches against IBD. Therefore, this review systematically summarizes the principal pathological subtypes and pathogenic mechanisms of IBD, with a specific focus on the regulatory effects and underlying mechanisms of dietary interventions, including functional oligosaccharides, polysaccharides, probiotics, and fecal microbiota transplantation. The findings will offer the novel theoretical insights and therapeutic approaches for IBD prevention and clinical management.

     

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