Challenges in IBD Research: Environmental Triggers.


Journal

Inflammatory bowel diseases
ISSN: 1536-4844
Titre abrégé: Inflamm Bowel Dis
Pays: England
ID NLM: 9508162

Informations de publication

Date de publication:
16 05 2019
Historique:
received: 29 03 2019
entrez: 17 5 2019
pubmed: 17 5 2019
medline: 2 6 2020
Statut: ppublish

Résumé

Environmental triggers is part of five focus areas of the Challenges in IBD research document, which also includes preclinical human IBD mechanisms, novel technologies, precision medicine and pragmatic clinical research. The Challenges in IBD research document provides a comprehensive overview of current gaps in inflammatory bowel diseases (IBD) research and delivers actionable approaches to address them. It is the result of a multidisciplinary input from scientists, clinicians, patients, and funders, and represents a valuable resource for patient centric research prioritization. In particular, the environmental triggers section is focused on the main research gaps in elucidating causality of environmental factors in IBD. Research gaps were identified in: 1) epidemiology of exposures; 2) identification of signatures of biological response to exposures; and 3) mechanisms of how environmental exposures drive IBD. To address these gaps, the implementation of longitudinal prospective studies to determine disease evolution and identify sub-clinical changes in response to exposures is proposed. This can help define critical windows of vulnerability and risk prediction. In addition, systems biology analysis and in silico modeling were proposed as approaches to integrate the IBD exposome for the identification of biological signatures of response to exposures, and to develop prediction models of the effects of environmental factors in driving disease activity and response to therapy. This research could lead to identification of biomarkers of exposures and new modalities for therapeutic intervention. Finally, hypothesis-driven mechanistic studies to understand gene-environment interactions and to validate causality of priority factors should be performed to determine how environment influences clinical outcomes.

Identifiants

pubmed: 31095702
pii: 5490492
doi: 10.1093/ibd/izz076
pmc: PMC6787673
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

S13-S23

Subventions

Organisme : NIDDK NIH HHS
ID : R01 DK048351
Pays : United States

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2019 Crohn’s & Colitis Foundation. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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Auteurs

Shuk-Mei Ho (SM)

University of Cincinnati, Cincinnati, Ohio.

James D Lewis (JD)

Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Emeran A Mayer (EA)

University of California Los Angeles, Los Angeles, California.

Scott E Plevy (SE)

Synlogic, Cambridge Massachusetts, Massachusetts.

Emil Chuang (E)

Progenity, San Diego, California.

Stephen M Rappaport (SM)

University of California Berkeley, Berkeley, California.

Kenneth Croitoru (K)

Mount Sinai Hospital, University of Toronto, Toronto, Canada.

Joshua R Korzenik (JR)

Brigham and Women's Hospital, Boston, Massachusetts.

Jeffrey Krischer (J)

University of South Florida, Tampa, Florida.

Jeffrey S Hyams (JS)

Connecticut Children's Medical Center, Hartford, Connecticut.

Richard Judson (R)

United States Environmental Protection Agency, Washington, District of Columbia.

Manolis Kellis (M)

Massachusetts Institute of Technology, Cambridge, Massachusetts.

Michael Jerrett (M)

Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Gary W Miller (GW)

Columbia University, New York, New York.

Melanie L Grant (ML)

Children's National Health System, Washington, District of Columbia.

Nataly Shtraizent (N)

Crohn's & Colitis Foundation, New York, New York.

Gerard Honig (G)

Crohn's & Colitis Foundation, New York, New York.

Andrés Hurtado-Lorenzo (A)

Crohn's & Colitis Foundation, New York, New York.

Gary D Wu (GD)

Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

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