4.7 Review

Dysbiotic microbiota interactions in Crohn's disease

Journal

GUT MICROBES
Volume 13, Issue 1, Pages -

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/19490976.2021.1949096

Keywords

Crohn's disease; microbiota; inflammation; fibrosis; dysbiosis; bacterial translocation

Funding

  1. Ministerio de Ciencia, Innovacion y Universidades, Madrid, Spain [PID2019-107036RBI00]
  2. IIS ISABIAL, Hospital General Universitario, Alicante, Spain [2020-0287]
  3. Ministerio de Ciencia, Innovacion y Universidades [PID2019-107036RB-I00]

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This review delves into the modification of the gut microbiota cluster network during CD progression and discusses how this shift compromises the gut barrier integrity, allowing the translocation of microbes and their products. It also retraces gut microbiota dysbiosis interactions with the main pathophysiologic factors of CD, providing insights on genetic background, immune inflammatory processes, and potential benefits of targeting a specific gut microbiota.
Crohn's disease (CD) is a major form of inflammatory bowel disease characterized by transmural inflammation along the alimentary tract. Changes in the microbial composition and reduction in species diversity are recognized as pivotal hallmarks in disease dynamics, challenging the gut barrier function and shaping a pathological immune response in genetically influenced subjects. The purpose of this review is to delve into the modification of the gut microbiota cluster network during CD progression and to discuss how this shift compromises the gut barrier integrity, granting the translocation of microbes and their products. We then complete the scope of the review by retracing gut microbiota dysbiosis interactions with the main pathophysiologic factors of CD, starting from the host's genetic background to the immune inflammatory and fibrotic processes, providing a standpoint on the lifestyle/exogenous factors and the potential benefits of targeting a specific gut microbiota.

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