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10.1111/apt.13963 http://scihub22266oqcxt.onion/10.1111/apt.13963 C5576448!5576448 !28185291     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28185291 &cmd=llinks): Failed to open stream: HTTP request failed! 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Review article: pathogenesis and clinical manifestations of gastrointestinal involvement in systemic sclerosis |pdf=|usr=}}{{28185291 }} gab.com Text Review article: pathogenesis and clinical manifestations of gastrointestinal involvement in systemic sclerosis JO: Aliment Pharmacol Ther http://www.kidney.de/pget.php?&tw=1&pmid=28185291 #FOAvip BACKGROUND: Gastrointestinal tract (GIT) involvement is a common cause of debilitating symptoms in patients with systemic sclerosis (SSc). There are no disease modifying therapies for this condition and the treatment remains symptomatic, largely owing to the lack of a clear understanding of its pathogenesis. AIMS: To investigate novel aspects of the pathogenesis of gastrointestinal involvement in SSc. To summarise existing knowledge regarding the cardinal clinical gastrointestinal manifestations of SSc and its pathogenesis, emphasising recent investigations that may be valuable in identifying potentially novel therapeutic targets. METHODS: Electronic (PubMed/Medline) and manual Google search. RESULTS: The GIT is the most common internal organ involved in SSc. Any part of the GIT from the mouth to the anus can be affected. There is substantial variability in clinical manifestations and disease course and symptoms are nonspecific and overlapping for a particular anatomical site. Gastrointestinal involvement can occur in the absence of cutaneous disease. Up to 8% of SSc patients develop severe GIT symptoms. This subset of patients display increased mortality with only 15% survival at 9 years. Dysmotiity of the GIT causes the majority of symptoms. Recent investigations have identified a novel mechanism in the pathogenesis of GIT dysmotility mediated by functional anti-muscarinic receptor autoantibodies. CONCLUSIONS: Despite extensive investigation, the pathogenesis of gastrointestinal involvement in systemic sclerosis remains elusive. Although treatment currently remains symptomatic, an improved understanding of novel pathogenic mechanisms may allow the development of potentially highly effective approaches including intravenous immunoglobulin and microRNA based therapeutic interventions. Twit Text FOAVip Review article: pathogenesis and clinical manifestations of gastrointestinal involvement in systemic sclerosis ????Aliment Pharmacol Ther http://www.kidney.de/pget.php?&tw=1&pmid=28185291 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28185291 #FOAvip English Wikipedia <ref>{{Cite pmid|28185291 }}</ref> Review article: pathogenesis and clinical manifestations of gastrointestinal involvement in systemic sclerosis #MMPMID28185291 Kumar S ; Singh J ; Rattan S ; DiMarino AJ ; Cohen S ; Jimenez SA Aliment Pharmacol Ther 2017[Apr]; 45 (7 ): 883-898 PMID28185291 show ga BACKGROUND: Gastrointestinal tract (GIT) involvement is a common cause of debilitating symptoms in patients with systemic sclerosis (SSc). There are no disease modifying therapies for this condition and the treatment remains symptomatic, largely owing to the lack of a clear understanding of its pathogenesis. AIMS: To investigate novel aspects of the pathogenesis of gastrointestinal involvement in SSc. To summarise existing knowledge regarding the cardinal clinical gastrointestinal manifestations of SSc and its pathogenesis, emphasising recent investigations that may be valuable in identifying potentially novel therapeutic targets. METHODS: Electronic (PubMed/Medline) and manual Google search. RESULTS: The GIT is the most common internal organ involved in SSc. Any part of the GIT from the mouth to the anus can be affected. There is substantial variability in clinical manifestations and disease course and symptoms are nonspecific and overlapping for a particular anatomical site. Gastrointestinal involvement can occur in the absence of cutaneous disease. Up to 8% of SSc patients develop severe GIT symptoms. This subset of patients display increased mortality with only 15% survival at 9 years. Dysmotiity of the GIT causes the majority of symptoms. Recent investigations have identified a novel mechanism in the pathogenesis of GIT dysmotility mediated by functional anti-muscarinic receptor autoantibodies. CONCLUSIONS: Despite extensive investigation, the pathogenesis of gastrointestinal involvement in systemic sclerosis remains elusive. Although treatment currently remains symptomatic, an improved understanding of novel pathogenic mechanisms may allow the development of potentially highly effective approaches including intravenous immunoglobulin and microRNA based therapeutic interventions. |Animals [MESH] |Fibrosis [MESH] |Gastrointestinal Tract/*pathology [MESH] |Humans [MESH] |Immunity, Cellular [MESH] |Immunity, Humoral [MESH]Review article: pathogenesis and clinical manifestations of gastrointe(epmc).pdf DeepDyve Pubget Overpricing