Intestinal alkaline phosphatase: a summary of its role in clinical disease

被引:136
作者
Fawley, Jason [1 ,2 ]
Gourlay, David M. [1 ,2 ]
机构
[1] Med Coll Wisconsin, Dept Surg, Div Pediat Surg, 8700 W Wisconsin Ave, Milwaukee, WI 53226 USA
[2] Childrens Hosp Wisconsin, Div Pediat Surg, Dept Surg, Milwaukee, WI 53201 USA
关键词
IAP; Sepsis; NEC; IBD; Metabolic syndrome; Intestinal microbiome; Bacterial translocation; NECROTIZING ENTEROCOLITIS; METABOLIC SYNDROME; ENTEROCYTE MICROVILLUS; COLONIC-MUCOSA; GUT BARRIER; SEPSIS; INFLAMMATION; PATHOGENESIS; MICROBIOTA; EXPRESSION;
D O I
10.1016/j.jss.2015.12.008
中图分类号
R61 [外科手术学];
学科分类号
摘要
Over the past few years, there is increasing evidence implicating a novel role for Intestinal Alkaline Phosphatase (IAP) in mitigating inflammatory mediated disorders. IAP is an endogenous protein expressed by the intestinal epithelium that is believed to play a vital role in maintaining gut homeostasis. Loss of IAP expression or function is associated with increased intestinal inflammation, dysbiosis, bacterial translocation and subsequently systemic inflammation. As these events are a cornerstone of the pathophysiology of many diseases relevant to surgeons, we sought to review recent research in both animal and humans on IAP's physiologic function, mechanisms of action and current research in specific surgical diseases. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:225 / 234
页数:10
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