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Concerted changes in the pediatric single-cell intestinal ecosystem before and after anti-TNF blockade

· 2026-09-01 · 原文

Crohn’s disease is an inflammatory bowel disease (IBD) commonly treated through anti-TNF blockade. However, most patients still relapse and inevitably progress. Comprehensive single-cell RNA-sequencing (scRNA-seq) atlases have largely sampled patients with established treatment-refractory IBD, limiting our understanding of which cell types, subsets, and states at diagnosis anticipate disease severity and response to treatment. Here, through combining clinical, flow cytometry, histology, and scRNA-seq methods, we profile diagnostic human biopsies from the terminal ileum of treatment-naive pediatric patients with Crohn’s disease (pediCD; n = 14), matched repeat biopsies (pediCD-treated; n = 8) and from non-inflamed pediatric controls with functional gastrointestinal disorders (FGIDs; n = 13)

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1. 人话版

Crohn’s disease is an inflammatory bowel disease (IBD) commonly treated through anti-TNF blockade.

However, most patients still relapse and inevitably progress.

2. 领域脉络

来源板块:板块二 · 顶级期刊。

3. 机制拆解

摘要未展开方法细节——精读时重点看方法/模型部分。

4. 证据与数字

Here, through combining clinical, flow cytometry, histology, and scRNA-seq methods, we profile diagnostic human biopsies from the terminal ileum of treatment-naive pediatric patients with Crohn’s disease (pediCD; n = 14), matched repeat biopsies (pediCD-treated; n = 8) and from non-inflamed pediatric controls with functional gastrointestinal disorders (FGIDs; n = 13)

5. 反例与边界

Comprehensive single-cell RNA-sequencing (scRNA-seq) atlases have largely sampled patients with established treatment-refractory IBD, limiting our understanding of which cell types, subsets, and states at diagnosis anticipate disease severity and response to treatment.

6. 跨领域连接与意外收获

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7. 可复用方法

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8. 术语表

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