%0 Journal Article
%T Pathogenesis of Inflammatory Bowel Disease: Basic Science in the Light of Real-World Epidemiology
%A Davide Giuseppe Ribaldone
%A Giovanni C. Actis
%A Rinaldo Pellicano
%J -
%D 2019
%R https://doi.org/10.3390/gidisord1010010
%X Abstract Major advances in the last few decades have favored the view of inflammatory bowel disease (IBD) as a disease of hyper- or, more often, paradoxical hyporesponsiveness of the gut-associated immune system. The relevant pivot seems to be the loss of the balance between gut-associated pro-inflammatory lymphocytes and the indwelling microbiome species, with inner regulatory circuits (regulatory T-lymphocytes, T-reg) and outer factors (such as drugs, tobacco, diet components) contributing to complicate the matter. Light might be shed by the observation of the real-world IBD epidemiology, which may help unveil the factors that tend to cluster IBD cases to certain geographical areas. A transitional mind frame between bench and real-world gastroenterology could hopefully contribute to restrain the mounting epidemic of IBD in the Western world and to halt the more recent increases seen in many Eastern countries. View Full-Tex
%K pathogenesis
%K inflammatory bowel disease
%K epidemiology
%U https://www.mdpi.com/2624-5647/1/1/10