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| Content Provider | PubMed Central |
|---|---|
| Author | Denson, Lee A. |
| Abstract | Recent translational studies have provided new insights into the pathogenesis of pediatric-onset Inflammatory Bowel Disease (IBD). Registry studies have identified distinct clinical phenotypes with increasing age of onset; this has led to a revision of the clinical phenotyping system, now termed the Paris classification system. It is recognized that there are infantile (age <1 years), very early onset (VEO, age 1-10), and early onset (EO, age 10-17) forms of disease. Rare genetic mutations affecting anti-microbial and anti-inflammatory pathways have been discovered in infantile and VEO forms, while genetic pathways identified in EO disease have been similar to adult-onset IBD. An increasing incidence in the infantile and VEO forms has suggested an important environmental influence. This is likely ultimately expressed via alterations in the enteric flora (dysbiosis) and dysregulated immune responses to the flora which are recognized as a critical trigger for mucosal inflammation. These data should ultimately guide new pathogenic models of disease which will inform both therapy in individual patients, and disease prevention in their at-risk family members. |
| Related Links | http://dx.doi.org/10.1097/mib.0b013e318281f590 |
| Ending Page | 2020 |
| Page Count | 10 |
| Starting Page | 2011 |
| File Format | |
| ISSN | 10780998 |
| e-ISSN | 15364844 |
| Journal | Inflammatory bowel diseases |
| Issue Number | 9 |
| Volume Number | 19 |
| Language | English |
| Publisher Date | 2013-05-01 |
| Access Restriction | Open |
| Subject Keyword | Immunology and Allergy Gastroenterology Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Immunology and Allergy Gastroenterology |
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