KEGG   DISEASE: 潰瘍性大腸炎
エントリ  
H01466                                                             
名称    
潰瘍性大腸炎
  上位グループ
炎症性腸疾患 (IBD) [DS:H01227]
概要    
Ulcerative colitis (UC) is one subtype of inflammatory bowel disease (IBD) whose pathogenesis is multifactorial and includes influences from genes, the environment, and the gut microbiome. In UC the inflammatory is limited to the mucosa of the colon and rectum. Clinically, the most common manifestation of UC may include bloody diarrhea, abdominal pain. In most severe cases, patients may experience fever, weight loss, anemia, and the intestine can get distended, presenting deep ulceration and possibly intestinal perforation.The long-time duration of the disease increases a colorectal cancer risk. UC is associated with a Th2 immune response. Recent genetic analyses have linked genes including interleukin 23 receptor, interleukin 10 and macrophage stimulating 1.
カテゴリ  
免疫系疾患
階層分類  
ICD-11 による疾患分類 [BR:jp08403]
 13 消化器系の疾患
  炎症性腸疾患
   DD71  潰瘍性大腸炎
    H01466  潰瘍性大腸炎
指定難病 [jp08407.html]
 H01466
パスウェイ 
hsa04060  Cytokine-cytokine receptor interaction
hsa04630  JAK-STAT signaling pathway
病因遺伝子 
IL23R [HSA:149233] [KO:K05065]
IL10 [HSA:3586] [KO:K05443]
IL37 [HSA:27178] [KO:K05485]
MST1 [HSA:4485] [KO:K23441]
病原体   
Fusobacterium varium [GN:fva]
治療薬   
デキサメタゾン [DR:D00292]
デキサメタゾンリン酸エステルナトリウム [DR:D00975]
ベタメタゾンリン酸エステルナトリウム [DR:D00972]
トリアムシノロンアセトニド [DR:D00983]
タクロリムス水和物 [DR:D00107]
ブデソニド [DR:D00246]
メサラジン [DR:D00377]
インフリキシマブ [DR:D02598]
ミリキズマブ [DR:D11123]
ベドリズマブ [DR:D08083]
ヒドロコルチゾン [DR:D00088]
ヒドロコルチゾンコハク酸エステルナトリウム [DR:D00978]
コルチゾン酢酸エステル [DR:D00973]
トリアムシノロン [DR:D00385]
ベタメタゾン [DR:D00244]
プレドニゾロン [DR:D00472]
プレドニゾロンリン酸エステルナトリウム [DR:D00981]
プレドニゾロンコハク酸エステルナトリウム [DR:D01239]
メチルプレドニゾロン [DR:D00407]
メチルプレドニゾロン酢酸エステル [DR:D00979]
アダリムマブ [DR:D02597]
ゴリムマブ [DR:D04358]
ウステキヌマブ [DR:D09214]
トファシチニブクエン酸塩 [DR:D09783]
ウパダシチニブ水和物 [DR:D11048]
フィルゴチニブマレイン酸塩 [DR:D11106]
アザチオプリン [DR:D00238]
サラゾスルファピリジン [DR:D00448]
リンク   
ICD-11: DD71
ICD-10: K51
MeSH: D003093
OMIM: 612261 619398
文献    
  著者
de Mattos BR, Garcia MP, Nogueira JB, Paiatto LN, Albuquerque CG, Souza CL, Fernandes LG, Tamashiro WM, Simioni PU
  タイトル
Inflammatory Bowel Disease: An Overview of Immune Mechanisms and Biological Treatments.
  雑誌
Mediators Inflamm 2015:493012 (2015)
DOI:10.1155/2015/493012
文献    
  著者
Abraham C, Cho JH
  タイトル
Inflammatory bowel disease.
  雑誌
N Engl J Med 361:2066-78 (2009)
DOI:10.1056/NEJMra0804647
文献    
PMID:17068223 (IL23R)
  著者
Duerr RH, Taylor KD, Brant SR, Rioux JD, Silverberg MS, Daly MJ, Steinhart AH, Abraham C, Regueiro M, Griffiths A, Dassopoulos T, Bitton A, Yang H, Targan S, Datta LW, Kistner EO, Schumm LP, Lee AT, Gregersen PK, Barmada MM, Rotter JI, Nicolae DL, Cho JH
  タイトル
A genome-wide association study identifies IL23R as an inflammatory bowel disease gene.
  雑誌
Science 314:1461-3 (2006)
DOI:10.1126/science.1135245
文献    
PMID:18836448 (IL10)
  著者
Franke A, Balschun T, Karlsen TH, Sventoraityte J, Nikolaus S, Mayr G, Domingues FS, Albrecht M, Nothnagel M, Ellinghaus D, Sina C, Onnie CM, Weersma RK, Stokkers PC, Wijmenga C, Gazouli M, Strachan D, McArdle WL, Vermeire S, Rutgeerts P, Rosenstiel P, Krawczak M, Vatn MH, Mathew CG, Schreiber S
  タイトル
Sequence variants in IL10, ARPC2 and multiple other loci contribute to ulcerative colitis susceptibility.
  雑誌
Nat Genet 40:1319-23 (2008)
DOI:10.1038/ng.221
文献    
PMID:33674380 (IL37)
  著者
Zhang ZZ, Zhang Y, He T, Sweeney CL, Baris S, Karakoc-Aydiner E, Yao Y, Ertem D, Matthews HF, Gonzaga-Jauregui C, Malech HL, Su HC, Ozen A, Smith KGC, Lenardo MJ
  タイトル
Homozygous IL37 mutation associated with infantile inflammatory bowel disease.
  雑誌
Proc Natl Acad Sci U S A 118:e2009217118 (2021)
DOI:10.1073/pnas.2009217118
文献    
PMID:22237417 (MST1)
  著者
Hauser F, Deyle C, Berard D, Neukirch C, Glowacki C, Bickmann JK, Wenzel JJ, Lackner KJ, Rossmann H
  タイトル
Macrophage-stimulating protein polymorphism rs3197999 is associated with a gain of function: implications for inflammatory bowel disease.
  雑誌
Genes Immun 13:321-7 (2012)
DOI:10.1038/gene.2011.88
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