Recent developments in the pathophysiology of irritable bowel syndrome
Open accessAbstract
Irritable bowel syndrome (IBS) is a common gastrointestinal disorder, the pathophysiology of which is not completely known, although it has been shown that genetic/social learning factors, diet, intestinal microbiota, intestinal low-grade inflammation, and abnormal gastrointestinal endocrine cells play a major role. Studies of familial aggregation and on twins have confirmed the heritability of IBS. However, the proposed IBS risk genes are thus far nonvalidated hits rather than true predisposing factors. There is no convincing evidence that IBS patients suffer from food allergy/intolerance, with the effect exerted by diet seemingly caused by intake of poorly absorbed carbohydrates and fiber. Obesity is a possible comorbidity of IBS. Differences in the microbiota between IBS patients and healthy controls have been reported, but the association between IBS symptoms and specific bacterial species is uncertain. Low-grade inflammation appears to play a role in the pathophysiology of a major subset of IBS, namely postinfectious IBS. The density of intestinal endocrine cells is reduced in patients with IBS, possibly as a result of genetic factors, diet, intestinal microbiota, and low-grade inflammation interfering with the regulatory signals controlling the intestinal stem-cell clonogenic and differentiation activities. Furthermore, there is speculation that this decreased number of endocrine cells is responsible for the visceral hypersensitivity, disturbed gastrointestinal motility, and abnormal gut secretion seen in IBS patients.
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The IBS dysbiosis mostly consists of a reduction in alpha diversity and an imbalance between microbial groups, represented by a scarce amount Bifidobacteria and Lactobacilli members and an increase in potentially pathogenic Enterobacteriaceae, such as E. coli.
“The IBS dysbiosis mostly consists of a reduction in alpha diversity and an imbalance between microbial groups, represented by a scarce amount Bifidobacteria and Lactobacilli members and an increase in potentially pathogenic Enterobacteriaceae, such as E. coli[127,128]”
From Proton pump inhibitors and dysbiosis: current knowledge and aspects to be clarified (2019) · cites this paper as [128]
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Reisian, M., Milajerdi, A., Keshteli, A. H., Abbasi, F., Haghighatdoost, F., Azadbakht, L., Esmaillzadeh, A., & Adibi, P. (2023) · Research Square · doi:10.21203/rs.3.rs-3178116/v1
A Case Report on the Treatment of Irritable Bowel Syndrome (IBS) in Ayurveda
-, D. S. S. (2023) · International Journal For Multidisciplinary Research · doi:10.36948/ijfmr.2023.v05i04.5569
Arbab, M. H. (2023) · Wiley eBooks · doi:10.1002/9781119904786.ch20
- Authors
- El-Salhy, M.
- Venue
- World Journal of Gastroenterology
- Publisher
- Baishideng Publishing Group Inc.
- Published
- 2015
- Volume
- 21
- Issue
- 25
- Pages
- 7621
- ISSN
- 1007-9327 (ISSN-L)
- PMC
- PMC4491952
- OpenAlex
- W2402823108
- Cited by
- 111
- References
- 306
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 8 · 2023: 9 · 2022: 13 · 2021: 10 · 2020: 11 · 2019: 13 · 2018: 12 · 2017: 13 · 2016: 11 · 2015: 4
- FWCI
- 2.34
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- World Journal of Gastroenterology (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Boettcher Foundation
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Keywords
- irritable bowel syndrome, pathophysiology, gut microbiota, low-grade intestinal inflammation, intestinal endocrine cells, heritability, risk genes, dietary fiber, obesity, visceral hypersensitivity, gastrointestinal motility
- MeSH terms
- Animals, Diet, Genetic Markers, Humans, Intestines, Phenotype, Risk Factors, Stem Cells, Signal Transduction, Comorbidity, Genetic Predisposition to Disease, Irritable Bowel Syndrome, Host-Pathogen Interactions, Gene-Environment Interaction, Microbiota
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