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Challenges in IBD Research 2024: Environmental Triggers

工作组 环境流行病学 环境卫生 疾病 炎症性肠病 流行病学 医学 溃疡性结肠炎 心理干预 维多利祖马布 病理 计算机科学 计算机网络 精神科
作者
Ashwin N. Ananthakrishnan,Konstantinos Gerasimidis,Shuk-Mei Ho,Emeran A. Mayer,Jennifer S. Pollock,Shefali Soni,Gary D. Wu,Jalil Benyacoub,B.E. Ali,Alex Favreau,Denise Elsbree Smith,Jieun Oh,Caren Heller,Andres Hurtado‐Lorenzo,A. J. Moss,Ken Croitoru
出处
期刊:Inflammatory Bowel Diseases [Oxford University Press]
卷期号:30 (Supplement_2): S19-S29 被引量:3
标识
DOI:10.1093/ibd/izae085
摘要

Abstract Environmental factors play an important role in inflammatory bowel diseases (IBD; Crohn’s disease, [CD], ulcerative colitis [UC]). As part of the Crohn’s & Colitis Challenges 2024 agenda, the Environmental Triggers workgroup summarized the progress made in the field of environmental impact on IBD since the last Challenges cycle in this document. The workgroup identified 4 unmet gaps in this content area pertaining to 4 broad categories: (1) Epidemiology; (2) Exposomics and environmental measurement; (3) Biologic mechanisms; and (4) Interventions and Implementation. Within epidemiology, the biggest unmet gaps were in the study of environmental factors in understudied populations including racial and ethnic minority groups and in populations witnessing rapid rise in disease incidence globally. The workgroup also identified a lack of robust knowledge of how environmental factors may impact difference stages of the disease and for different disease-related end points. Leveraging existing cohorts and targeted new prospective studies were felt to be an important need for the field. The workgroup identified the limitations of traditional questionnaire-based assessment of environmental exposure and placed high priority on the identification of measurable biomarkers that can quantify cross-sectional and longitudinal environmental exposure. This would, in turn, allow for identifying the biologic mechanisms of influence of environmental factors on IBD and understand the heterogeneity in effect of such influences. Finally, the working group emphasized the importance of generating high-quality data on effective environmental modification on an individual and societal level, and the importance of scalable and sustainable methods to deliver such changes.

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