Links Between Inflammatory Bowel Disease and Chronic Obstructive Pulmonary Disease

Inflammatory bowel disease (IBD) and chronic obstructive pulmonary disease (COPD) are chronic inflammatory diseases of the gastrointestinal and respiratory tracts, respectively. These mucosal tissues bear commonalities in embryology, structure and physiology. Inherent similarities in immune response...

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Main Authors: April L. Raftery, Evelyn Tsantikos, Nicola L. Harris, Margaret L. Hibbs
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-09-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2020.02144/full
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author April L. Raftery
Evelyn Tsantikos
Nicola L. Harris
Margaret L. Hibbs
author_facet April L. Raftery
Evelyn Tsantikos
Nicola L. Harris
Margaret L. Hibbs
author_sort April L. Raftery
collection DOAJ
description Inflammatory bowel disease (IBD) and chronic obstructive pulmonary disease (COPD) are chronic inflammatory diseases of the gastrointestinal and respiratory tracts, respectively. These mucosal tissues bear commonalities in embryology, structure and physiology. Inherent similarities in immune responses at the two sites, as well as overlapping environmental risk factors, help to explain the increase in prevalence of IBD amongst COPD patients. Over the past decade, a tremendous amount of research has been conducted to define the microbiological makeup of the intestine, known as the intestinal microbiota, and determine its contribution to health and disease. Intestinal microbial dysbiosis is now known to be associated with IBD where it impacts upon intestinal epithelial barrier integrity and leads to augmented immune responses and the perpetuation of chronic inflammation. While much less is known about the lung microbiota, like the intestine, it has its own distinct, diverse microflora, with dysbiosis being reported in respiratory disease settings such as COPD. Recent research has begun to delineate the interaction or crosstalk between the lung and the intestine and how this may influence, or be influenced by, the microbiota. It is now known that microbial products and metabolites can be transferred from the intestine to the lung via the bloodstream, providing a mechanism for communication. While recent studies indicate that intestinal microbiota can influence respiratory health, intestinal dysbiosis in COPD has not yet been described although it is anticipated since factors that lead to dysbiosis are similarly associated with COPD. This review will focus on the gut-lung axis in the context of IBD and COPD, highlighting the role of environmental and genetic factors and the impact of microbial dysbiosis on chronic inflammation in the intestinal tract and lung.
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spelling doaj.art-7ead77c84d9349d78f17126983e413ee2022-12-22T00:45:31ZengFrontiers Media S.A.Frontiers in Immunology1664-32242020-09-011110.3389/fimmu.2020.02144578727Links Between Inflammatory Bowel Disease and Chronic Obstructive Pulmonary DiseaseApril L. RafteryEvelyn TsantikosNicola L. HarrisMargaret L. HibbsInflammatory bowel disease (IBD) and chronic obstructive pulmonary disease (COPD) are chronic inflammatory diseases of the gastrointestinal and respiratory tracts, respectively. These mucosal tissues bear commonalities in embryology, structure and physiology. Inherent similarities in immune responses at the two sites, as well as overlapping environmental risk factors, help to explain the increase in prevalence of IBD amongst COPD patients. Over the past decade, a tremendous amount of research has been conducted to define the microbiological makeup of the intestine, known as the intestinal microbiota, and determine its contribution to health and disease. Intestinal microbial dysbiosis is now known to be associated with IBD where it impacts upon intestinal epithelial barrier integrity and leads to augmented immune responses and the perpetuation of chronic inflammation. While much less is known about the lung microbiota, like the intestine, it has its own distinct, diverse microflora, with dysbiosis being reported in respiratory disease settings such as COPD. Recent research has begun to delineate the interaction or crosstalk between the lung and the intestine and how this may influence, or be influenced by, the microbiota. It is now known that microbial products and metabolites can be transferred from the intestine to the lung via the bloodstream, providing a mechanism for communication. While recent studies indicate that intestinal microbiota can influence respiratory health, intestinal dysbiosis in COPD has not yet been described although it is anticipated since factors that lead to dysbiosis are similarly associated with COPD. This review will focus on the gut-lung axis in the context of IBD and COPD, highlighting the role of environmental and genetic factors and the impact of microbial dysbiosis on chronic inflammation in the intestinal tract and lung.https://www.frontiersin.org/article/10.3389/fimmu.2020.02144/fullinflammatory bowel diseaseCrohn's disease metaboliteschronic obstructive pulmonary diseasemicrobial dysbiosisgut-lung axis
spellingShingle April L. Raftery
Evelyn Tsantikos
Nicola L. Harris
Margaret L. Hibbs
Links Between Inflammatory Bowel Disease and Chronic Obstructive Pulmonary Disease
Frontiers in Immunology
inflammatory bowel disease
Crohn's disease metabolites
chronic obstructive pulmonary disease
microbial dysbiosis
gut-lung axis
title Links Between Inflammatory Bowel Disease and Chronic Obstructive Pulmonary Disease
title_full Links Between Inflammatory Bowel Disease and Chronic Obstructive Pulmonary Disease
title_fullStr Links Between Inflammatory Bowel Disease and Chronic Obstructive Pulmonary Disease
title_full_unstemmed Links Between Inflammatory Bowel Disease and Chronic Obstructive Pulmonary Disease
title_short Links Between Inflammatory Bowel Disease and Chronic Obstructive Pulmonary Disease
title_sort links between inflammatory bowel disease and chronic obstructive pulmonary disease
topic inflammatory bowel disease
Crohn's disease metabolites
chronic obstructive pulmonary disease
microbial dysbiosis
gut-lung axis
url https://www.frontiersin.org/article/10.3389/fimmu.2020.02144/full
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