The Intricate Link among Gut “Immunological Niche,” Microbiota, and Xenobiotics in Intestinal Pathology

Inflammatory bowel diseases (IBDs) are diseases characterized by various degrees of inflammation involving the gastrointestinal tract. Ulcerative colitis and Crohn’s disease are characterized by a dysregulated immune response leading to structural gut alterations in genetically predisposed individua...

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Main Authors: Danilo Pagliari, Giovanni Gambassi, Ciriaco A. Piccirillo, Rossella Cianci
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2017/8390595
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author Danilo Pagliari
Giovanni Gambassi
Ciriaco A. Piccirillo
Rossella Cianci
author_facet Danilo Pagliari
Giovanni Gambassi
Ciriaco A. Piccirillo
Rossella Cianci
author_sort Danilo Pagliari
collection DOAJ
description Inflammatory bowel diseases (IBDs) are diseases characterized by various degrees of inflammation involving the gastrointestinal tract. Ulcerative colitis and Crohn’s disease are characterized by a dysregulated immune response leading to structural gut alterations in genetically predisposed individuals. Diverticular disease is characterized by abnormal immune response to normal gut microbiota. IBDs are linked to a lack of physiological tolerance of the mucosal immune system to resident gut microbiota and pathogens. The disruption of immune tolerance involves inflammatory pathways characterized by an unbalance between the anti-inflammatory regulatory T cells and the proinflammatory Th1/Th17 cells. The interaction among T cell subpopulations and their related cytokines, mediators of inflammation, gut microbiota, and the intestinal mucosa constitute the gut “immunological niche.” Several evidences have shown that xenobiotics, such as rifaximin, can positively modulate the inflammatory pathways at the site of gut immunological niche, acting as anti-inflammatory agents. Xenobiotics may interfere with components of the immunological niche, leading to activation of anti-inflammatory pathways and inhibition of several mediators of inflammation. In summary, xenobiotics may reduce disease-related gut mucosal alterations and clinical symptoms. Studying the complex interplay between gut immunological niche and xenobiotics will certainly open new horizons in the knowledge and therapy of intestinal pathologies.
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spelling doaj-art-49e57f600997456bb29d5fea91ca3fa22025-08-20T02:39:22ZengWileyMediators of Inflammation0962-93511466-18612017-01-01201710.1155/2017/83905958390595The Intricate Link among Gut “Immunological Niche,” Microbiota, and Xenobiotics in Intestinal PathologyDanilo Pagliari0Giovanni Gambassi1Ciriaco A. Piccirillo2Rossella Cianci3Department of Internal Medicine and Medical Sciences, “A. Gemelli Hospital”, Catholic University of the Sacred Heart, Rome, ItalyDepartment of Internal Medicine and Medical Sciences, “A. Gemelli Hospital”, Catholic University of the Sacred Heart, Rome, ItalyDepartment of Microbiology and Immunology, McGill University, Montréal, QC, CanadaDepartment of Internal Medicine and Medical Sciences, “A. Gemelli Hospital”, Catholic University of the Sacred Heart, Rome, ItalyInflammatory bowel diseases (IBDs) are diseases characterized by various degrees of inflammation involving the gastrointestinal tract. Ulcerative colitis and Crohn’s disease are characterized by a dysregulated immune response leading to structural gut alterations in genetically predisposed individuals. Diverticular disease is characterized by abnormal immune response to normal gut microbiota. IBDs are linked to a lack of physiological tolerance of the mucosal immune system to resident gut microbiota and pathogens. The disruption of immune tolerance involves inflammatory pathways characterized by an unbalance between the anti-inflammatory regulatory T cells and the proinflammatory Th1/Th17 cells. The interaction among T cell subpopulations and their related cytokines, mediators of inflammation, gut microbiota, and the intestinal mucosa constitute the gut “immunological niche.” Several evidences have shown that xenobiotics, such as rifaximin, can positively modulate the inflammatory pathways at the site of gut immunological niche, acting as anti-inflammatory agents. Xenobiotics may interfere with components of the immunological niche, leading to activation of anti-inflammatory pathways and inhibition of several mediators of inflammation. In summary, xenobiotics may reduce disease-related gut mucosal alterations and clinical symptoms. Studying the complex interplay between gut immunological niche and xenobiotics will certainly open new horizons in the knowledge and therapy of intestinal pathologies.http://dx.doi.org/10.1155/2017/8390595
spellingShingle Danilo Pagliari
Giovanni Gambassi
Ciriaco A. Piccirillo
Rossella Cianci
The Intricate Link among Gut “Immunological Niche,” Microbiota, and Xenobiotics in Intestinal Pathology
Mediators of Inflammation
title The Intricate Link among Gut “Immunological Niche,” Microbiota, and Xenobiotics in Intestinal Pathology
title_full The Intricate Link among Gut “Immunological Niche,” Microbiota, and Xenobiotics in Intestinal Pathology
title_fullStr The Intricate Link among Gut “Immunological Niche,” Microbiota, and Xenobiotics in Intestinal Pathology
title_full_unstemmed The Intricate Link among Gut “Immunological Niche,” Microbiota, and Xenobiotics in Intestinal Pathology
title_short The Intricate Link among Gut “Immunological Niche,” Microbiota, and Xenobiotics in Intestinal Pathology
title_sort intricate link among gut immunological niche microbiota and xenobiotics in intestinal pathology
url http://dx.doi.org/10.1155/2017/8390595
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