Autophagy and Gastrointestinal Diseases

Adv Exp Med Biol. 2020:1207:529-556. doi: 10.1007/978-981-15-4272-5_38.

Abstract

Normal gastrointestinal physiology is fundamental for all the living beings. Gastrointestinal diseases mainly include gastrointestinal motility disorders, infectious inflammation (such as Helicobacter pylori infection, cholera, and intestinal parasites), non-infectious inflammation (such as chronic gastritis and Crohn's disease), and gastrointestinal cancers. In addition, intestinal microbial disorder is also an important cause of intestinal diseases, so intestinal microecological treatment (fecal microbiota transplantation) is an important mean of treating gastrointestinal diseases. In recent years, the role of autophagy in gastrointestinal diseases has been studied extensively. Autophagy is observed under various pathological processes of the gastrointestinal tract. For example, it has been demonstrated that autophagy plays an important role in maintaining the homeostasis and integrity of intestinal epithelium. Additionally, autophagy regulates host response to H. pylori infection and development of gastrointestinal cancers. Therefore, we will discuss pivotal roles of autophagy in various gastrointestinal diseases and analyze the underlying molecular mechanisms, which may provide new therapeutic targets applicable for the treatment of gastrointestinal diseases.

Keywords: Autophagy; Chronic atrophic gastritis; Chronic non-atrophic gastritis; Gastrointestinal infections; Gastrointestinal motility disorders; Helicobacter pylori; Inflammatory bowel disease; Intestinal microecology.

Publication types

  • Review

MeSH terms

  • Autophagy* / drug effects
  • Cholera
  • Crohn Disease
  • Gastritis, Atrophic
  • Gastrointestinal Diseases* / drug therapy
  • Gastrointestinal Neoplasms
  • Helicobacter Infections
  • Humans