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2018 ; 6
(2
): 149-162
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Host-Gut Microbiota Crosstalk in Intestinal Adaptation
#MMPMID30023411
Marchix J
; Goddard G
; Helmrath MA
Cell Mol Gastroenterol Hepatol
2018[]; 6
(2
): 149-162
PMID30023411
show ga
Short-bowel syndrome represents the most common cause of intestinal failure and
occurs when the remaining intestine cannot support fluid and nutrient needs to
sustain adequate physiology and development without the use of supplemental
parenteral nutrition. After intestinal loss or damage, the remnant bowel
undergoes multifactorial compensatory processes, termed adaptation, which are
largely driven by intraluminal nutrient exposure. Previous studies have provided
insight into the biological processes and mediators after resection, however,
there still remains a gap in the knowledge of more comprehensive mechanisms that
drive the adaptive responses in these patients. Recent data support the
microbiota as a key mediator of gut homeostasis and a potential driver of
metabolism and immunomodulation after intestinal loss. In this review, we
summarize the emerging ideas related to host-microbiota interactions in the
intestinal adaptation processes.