Molecular Manipulations and Intestinal Stem Cell-Derived Organoids in Inflammatory Bowel Disease

被引:10
作者
Boye, Theresa Louise [1 ]
Steenholdt, Casper [1 ]
Jensen, Kim Bak [2 ,3 ]
Nielsen, Ole Haagen [1 ]
机构
[1] Univ Copenhagen, Herlev Hosp, Dept Gastroenterol, Borgmester Ib,Juuls Vej 1, DK-2730 Herlev, Denmark
[2] Univ Copenhagen, Novo Nordisk Fdn Ctr Stem Cell Med, Fac Hlth & Med Sci, Copenhagen, Denmark
[3] Univ Copenhagen, Biotech Res & Innovat Ctr BRIC, Copenhagen, Denmark
关键词
CRISPR; Cas9; system; DNA methylation; epigenetics; histone modification; inflammatory bowel disease; intestinal stem cells; organoids; BUTYRATE-PRODUCING BACTERIA; DNA METHYLATION; ULCERATIVE-COLITIS; CHROMATIN ACCESSIBILITY; EPITHELIAL-CELLS; HUMAN COLON; IN-VITRO; CROHNS; GENETICS; DIAGNOSIS;
D O I
10.1093/stmcls/sxac014
中图分类号
Q813 [细胞工程];
学科分类号
摘要
The pathogenesis of inflammatory bowel diseases (IBD) involves genetic predisposition, environmental factors, and a broadly dysregulated intestinal immune response to the commensal intestinal microflora. The interface between genetic predisposition and environmental factors is reflected in the epigenetic regulation at the transcriptional level. Treatment targets now involve mucosal and histological healing, but the future might additionally include normalization of intestinal cellular functions also at the molecular level, for example comprising complete restoration of phenotypic, genotypic, and epigenetic states. Recent developments in patient-derived epithelial intestinal stem cell (ISC) organoid technologies have opened exciting new therapeutic opportunities to potentially attain molecular healing by combining stem cell therapy with molecular manipulations using (epi)drugs and/or CRISPR/Cas9 genome editing. Here, we are the first to discuss the possibility for phenotypic, genotypic, and epigenetic restoration via molecular manipulations and stem cell therapy in IBD from a clinical perspective.
引用
收藏
页码:447 / 457
页数:11
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