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Crohn's disease

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TLDR
The epidemiology, immunobiology, amd natural history of Crohn's disease is discussed; new treatment goals and risk stratification of patients are described; and an evidence based rational approach to diagnosis is provided.
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This article is published in The Lancet.The article was published on 2012-11-03. It has received 1700 citations till now. The article focuses on the topics: Pattern recognition receptor & Immune system.

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Citations
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Concise Review: Cellular Therapies: The Potential to Regenerate and Restore Tolerance in Immune-Mediated Intestinal Diseases.

TL;DR: Both hematopoietic stem cells (HSC) and mesenchymal stem/stromal cells (MSC) have been employed in the treatment of refractory cases with promising results and the recent identification of the epithelial stem cell marker has opened up the possibility of tissue engineering.
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Body mass index is a practical preoperative nutritional index for postoperative infectious complications after intestinal resection in patients with Crohn's disease.

TL;DR: Preoperative BMI could be regarded as a practical preoperative nutritional index for evaluating the nutritional preparation sufficiency before CD operations and may be helpful to reduce the rate of PICs.
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Microbial communities modulating brain functioning and behaviors in zebrafish: A mechanistic approach.

TL;DR: The present review focuses on the new mechanistic basis that relates the microbiota of the intestine with diseases of the nervous system causing behavioral alteration in zebrafish (Danio rerio) during development, including neuronal, hormonal, immunological signaling with production of bacterial metabolites.
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Mesenchymal Stem Cells to Treat Crohn's Disease with Fistula

TL;DR: Several studies suggest that mesenchymal stem cells (MSCs) could improve Crohn's disease andCrohn's fistula, and studies concerning MSC transplantation or local rejection of stem cells derived from bone marrow or adipose tissue-derived stem cells have assessed stem cell-based treatments for refractory Crohn't disease.
References
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Recognition of Commensal Microflora by Toll-Like Receptors Is Required for Intestinal Homeostasis

TL;DR: It is shown that commensal bacteria are recognized by TLRs under normal steady-state conditions, and this interaction plays a crucial role in the maintenance of intestinal epithelial homeostasis and protection from injury.
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Molecular-phylogenetic characterization of microbial community imbalances in human inflammatory bowel diseases

TL;DR: Patient stratification by GI microbiota provides further evidence that CD represents a spectrum of disease states and suggests that treatment of some forms of IBD may be facilitated by redress of the detected microbiological imbalances.
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