Etiopathogenesis of pediatric Crohn's disease. Biologic pathways based on interactions between genetic and environmental factors.

Abstract:

:The incidence and prevalence of Crohn's disease (CD) among children in developed countries is extremely high. Although, dietary factors have long been implicated, to date no single causative element has been identified. Risks or benefits for CD from dietary elements would depend on their appropriate metabolism within the gut by xenobiotic metabolising enzymes (XME). The metabolising capacity among individuals differs and is determined by the level and/or activity of the specific XME. As the latter is the function of the DNA variants that code them, we propose that certain individuals exposed to dietary elements are likely to be more or less susceptible for CD. We highlight this hypothesis by describing gene-environment interaction (GxE) mechanisms that could determine susceptibility for CD. We suggest that investigating these mechanisms will be paramount for the appropriate identification of susceptible populations, such that preventive and/or therapeutic interventions could be adequately targeted.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

K Amre D,G Seidman E

doi

10.1016/s0306-9877(02)00401-2

keywords:

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

344-50

issue

3

eissn

0306-9877

issn

1532-2777

pii

S0306987702004012

journal_volume

60

pub_type

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