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Mechanisms of Disease: Inflammatory Bowel Diseases

Open access
Ramos, Guilherme Piovezani, Papadakis, Konstantinos A.·2019·Mayo Clinic Proceedings

Abstract

Inflammatory Bowel Diseases (IBD), represented by Crohn’s Disease (CD) and Ulcerative Colitis (UC), are associated with significant morbidity in western countries and with increasing incidence in the developing world. While analysis of the genome of IBD patients, especially through genome-wide association studies, has unraveled multiple pathways involved in IBD pathogenesis only part of IBD heritability has been explained by genetic studies. This has demonstrated that environmental factors also play a significant role in promoting intestinal inflammation, mostly through their effects in the composition of the microbiome. However, in order for microbial dysbiosis to result in uncontrolled intestinal inflammation, the intestinal barrier formed by intestinal epithelial cells and the innate immune system should also be compromised. Finally, activation of the immune system depends on the working balance between effector and regulatory cells present in the intestinal mucosa, which have also been shown to be dysregulated in this patient population. Therefore, IBD pathogenesis is a result of the interplay of genetic susceptibility, environmental impact on the microbiome that through a weakened intestinal barrier will lead to inappropriate intestinal immune activation. In this review, we will approach the mechanisms proposed to cause IBD from the genetic, environmental, intestinal barrier and the immunologic perspectives.

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Metadata

Authors
Ramos, G. P., & Papadakis, K. A.
Venue
Mayo Clinic Proceedings
Publisher
Elsevier BV
Published
2019-01
Volume
94
Issue
1
Pages
155-165
ISSN
0025-6196 (ISSN-L)
OpenAlex
W2906727442
Cited by
1,021
References
118
FWCI
51.74
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Mechanisms of Disease: Inflammatory Bowel Diseases. https://app.cochat.ai/papers/10.1016/j.mayocp.2018.09.013
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Ramos, G. P., & Papadakis, K. A. (2019). Mechanisms of Disease: Inflammatory Bowel Diseases. Mayo Clinic Proceedings. https://doi.org/10.1016/j.mayocp.2018.09.013

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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