Gut homeostasis, injury, and healing: New therapeutic targets  

作　　者：Sema Oncel Marc D Basson 

机构地区：[1]Department of Biomedical Sciences,University of North Dakota School of Medicine and Health Sciences,Grand Forks,ND 58202,United States [2]Department of Surgery,University of North Dakota School of Medicine and Health Sciences,Grand Forks,ND 58202,United States [3]Department of Pathology,University of North Dakota School of Medicine and Health Sciences,Grand Forks,ND 58202,United States

出　　处：《World Journal of Gastroenterology》2022年第17期1725-1750,共26页世界胃肠病学杂志（英文版）

摘　　要：The integrity of the gastrointestinal mucosa plays a crucial role in gut homeostasis,which depends upon the balance between mucosal injury by destructive factors and healing via protective factors.The persistence of noxious agents such as acid,pepsin,nonsteroidal anti-inflammatory drugs,or Helicobacter pylori breaks down the mucosal barrier and injury occurs.Depending upon the size and site of the wound,it is healed by complex and overlapping processes involving membrane resealing,cell spreading,purse-string contraction,restitution,differentiation,angiogenesis,and vasculogenesis,each modulated by extracellular regulators.Unfortunately,the gut does not always heal,leading to such pathology as peptic ulcers or inflammatory bowel disease.Currently available therapeutics such as proton pump inhibitors,histamine-2 receptor antagonists,sucralfate,5-aminosalicylate,antibiotics,corticosteroids,and immunosuppressants all attempt to minimize or reduce injury to the gastrointestinal tract.More recent studies have focused on improving mucosal defense or directly promoting mucosal repair.Many investigations have sought to enhance mucosal defense by stimulating mucus secretion,mucosal blood flow,or tight junction function.Conversely,new attempts to directly promote mucosal repair target proteins that modulate cytoskeleton dynamics such as tubulin,talin,Ehm^(2),filamin-a,gelsolin,and flightless I or that proteins regulate focal adhesions dynamics such as focal adhesion kinase.This article summarizes the pathobiology of gastrointestinal mucosal healing and reviews potential new therapeutic targets.

关 键 词：INTESTINE MUCOSA Repair RESTITUTION Sheet migration Stomach ulcer 

分 类 号：R574[医药卫生—消化系统]