Lecithin as a therapeutic agent in Ulcerative Colitis

Lecithin [phosphatidylcholine (PC)] was shown to account for more than 70% of total phospholipids within the intestinal mucus layer. It is arranged in lamellar membranes (surfactant-like particles) and establishes a hydrophobic barrier preventing invasion of the colonic commensal microbiota. In ulce...

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Hauptverfasser: Stremmel, Wolfgang (VerfasserIn) , Gauss, Annika (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2013
In: Digestive diseases
Year: 2013, Jahrgang: 31, Heft: 3-4, Pages: 388-390
ISSN:1421-9875
DOI:10.1159/000354707
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1159/000354707
Verlag, lizenzpflichtig, Volltext: https://www.karger.com/Article/FullText/354707
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Verfasserangaben:Wolfgang Stremmel, Annika Gauss

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520 |a Lecithin [phosphatidylcholine (PC)] was shown to account for more than 70% of total phospholipids within the intestinal mucus layer. It is arranged in lamellar membranes (surfactant-like particles) and establishes a hydrophobic barrier preventing invasion of the colonic commensal microbiota. In ulcerative colitis (UC), the mucus PC content was demonstrated to be reduced by about 70%, irrespective of the presence of inflammation. This may be of primary pathogenetic significance allowing bacteria to enter the mucus and induce mucosal inflammation. Therefore, a new therapeutic strategy is being developed to substitute the missing mucus PC content in UC. Indeed, a delayed-release PC formulation was able to compensate the lack of PC and improve the inflammatory activity. In randomized controlled studies, delayed-release PC was proven to be clinically and endoscopically effective, which now awaits a phase III authority approval trial. 
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