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基于"脂毒"说探讨高脂饮食对肠道干细胞的影响在肠道疾病中的发病作用及防治思路OACSTPCD

Based on the theory of'lipid toxin',to explore the effect of high fat diet on intestinal stem cells in the pathogenesis and prevention of intestinal diseases

中文摘要英文摘要

与高脂饮食相关的发病研究重点往往是心血管疾病、内分泌疾病等,肠道作为直接接触器官反而研究相对较少,近年来相关研究发现高脂饮食对肠道干细胞(ISC)的影响与肠道疾病的发病也有着密切联系.本文从"脂毒"说的角度探讨高脂饮食对ISC的影响在肠道疾病的发病作用:一则脂毒内蕴,肠道微生态失衡,改变了 ISC代谢环境;二则脂毒升高胆汁酸水平诱导ISC内质网应激,损伤肠络;三则脂毒生痰成瘀,增强了 ISC干性、致瘤性.此视角下可为肠道疾病提供新的防治思路:首当防先于治,遵循孙思邈"淡食"食疗养生观;其次治疗上一则健脾以调节肠道微生态,改善ISC代谢环境;二当恢复肝之疏泄改善胆汁酸代谢,维持ISC内质网稳态;三应祛痰逐瘀,降低ISC致瘤性.

Studies on pathogenesis related to high fat diet tend to focus on cardiovascular diseases and endocrine diseases,etc.However,there are relatively few studies on the gut as an organ in direct contact.In recent years,relevant studies have found that the influence of high fat diet on intestinal stem cells(ISC)is also closely related to the incidence of intestinal diseases.In this paper,from the perspective of'lipid toxin'theory,we discussed the effect of high-fat diet on ISC in the pathogenesis of in-testinal diseases.Firstly,the intestinal microecology was damaged and the metabolic environment of ISC was changed.Secondly,the increase of bile acid level induced ISC endoplasmic reticulum stress involved in ISC functional impairment.In the three cases,phlegm formation and stasis made the cancer endophytic and enhanced the dry and tumorigenic nature of ISC.From this perspec-tive,new ideas for the prevention and treatment of intestinal diseases can be provided:prevention should precede treatment,and Sun Simiao's'Light food'diet regimen should be followed;Secondly,the above mentioned spleen-strengthening treatment is used to regulate intestinal microecology and improve ISC metabolic environment.Second,restore liver drainage to improve bile acid metabolism and maintain the homeostasis of ISC endoplasmic reticulum.Three should be expectorant and stasis,reduce ISC tumorigenicity.

陈思琪;张馨丹;朱焰;田思雨;陈敏

成都中医药大学临床医学院/附属医院,四川成都 610075

临床医学

膏粱之味脂毒肠道干细胞(ISC)防治

rich foodlipid toxinintestinal stem cells(ISC)prevention and treatment

《四川中医》 2024 (006)

59-63 / 5

国家自然科学基金项目(编号:82274529).

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