Advances in the pathogenesis and treatment of IBD

被引:71
作者
Braus, Nicholas A. [2 ]
Elliott, David E. [1 ,3 ]
机构
[1] Univ Iowa, Coll Med, Div Gastroenterol 4611 JCP, Dept Vet Affairs Med Ctr, Iowa City, IA 52242 USA
[2] Univ Iowa, Doris Duke Clin Res Fellowship Program, Carver Coll Med, Iowa City, IA 52242 USA
[3] Univ Iowa, Dept Internal Med, Div Gastroenterol & Hepatol, Roy J & Lucille A Carver Coll Med, Iowa City, IA 52242 USA
关键词
Inflammatory bowel disease; Crohn's disease; Ulcerative colitis; Helminths; T lymphocytes; Interleukin; 10; 17; 4; TGF-beta; IFN-gamma; INFLAMMATORY-BOWEL-DISEASE; GENOME-WIDE ASSOCIATION; TRANSMITTED HELMINTH INFECTIONS; TRICHURIS-SUIS THERAPY; CROHNS-DISEASE; ULCERATIVE-COLITIS; PROTECTS MICE; SUSCEPTIBILITY LOCI; IMMUNE-RESPONSE; MURINE MODEL;
D O I
10.1016/j.clim.2009.02.006
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Crohn's disease and ulcerative colitis are chronic remitting and relapsing inflammatory bowel diseases. We present a typical case of Crohn's disease in a young woman and discuss potential treatment options. Crohn's disease and ulcerative colitis likely result from interaction of multiple genetic and environmental risk and protective factors. Both are diseases ultimately caused by immune dysregulation. Medical therapy is with mesalamine compounds, corticosteroids, immunomodulators and/or biologics that target TNF alpha signaling or alpha 4-integrin-mediated trafficking. Investigational agents include those targeted against other cytokines and costimulatory molecules or designed to promote immune regulation such as exposure to helminths which is a focus of this review. Published by Elsevier Inc.
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收藏
页码:1 / 9
页数:9
相关论文
共 94 条
  • [1] Surface phenotype and antigenic specificity of human interleukin 17-producing T helper memory cells
    Acosta-Rodriguez, Eva V.
    Rivino, Laura
    Geginat, Jens
    Jarrossay, David
    Gattorno, Marco
    Lanzavecchia, Antonio
    Sallusto, Federica
    Napolitani, Giorgio
    [J]. NATURE IMMUNOLOGY, 2007, 8 (06) : 639 - 646
  • [2] A genome scan in 260 inflammatory bowel disease-affected relative pairs
    Barmada, MM
    Brant, SR
    Nicolae, DL
    Achkar, JP
    Panhuysen, CI
    Bayless, TM
    Cho, JH
    Duerr, RH
    [J]. INFLAMMATORY BOWEL DISEASES, 2004, 10 (05) : 513 - 520
  • [3] Genome-wide association defines more than 30 distinct susceptibility loci for Crohn's disease
    Barrett, Jeffrey C.
    Hansoul, Sarah
    Nicolae, Dan L.
    Cho, Judy H.
    Duerr, Richard H.
    Rioux, John D.
    Brant, Steven R.
    Silverberg, Mark S.
    Taylor, Kent D.
    Barmada, M. Michael
    Bitton, Alain
    Dassopoulos, Themistocles
    Datta, Lisa Wu
    Green, Todd
    Griffiths, Anne M.
    Kistner, Emily O.
    Murtha, Michael T.
    Regueiro, Miguel D.
    Rotter, Jerome I.
    Schumm, L. Philip
    Steinhart, A. Hillary
    Targan, Stephan R.
    Xavier, Ramnik J.
    Libioulle, Cecile
    Sandor, Cynthia
    Lathrop, Mark
    Belaiche, Jacques
    Dewit, Olivier
    Gut, Ivo
    Heath, Simon
    Laukens, Debby
    Mni, Myriam
    Rutgeerts, Paul
    Van Gossum, Andre
    Zelenika, Diana
    Franchimont, Denis
    Hugot, Jean-Pierre
    de Vos, Martine
    Vermeire, Severine
    Louis, Edouard
    Cardon, Lon R.
    Anderson, Carl A.
    Drummond, Hazel
    Nimmo, Elaine
    Ahmad, Tariq
    Prescott, Natalie J.
    Onnie, Clive M.
    Fisher, Sheila A.
    Marchini, Jonathan
    Ghori, Jilur
    [J]. NATURE GENETICS, 2008, 40 (08) : 955 - 962
  • [4] Gastroenterology 2 - Inflammatory bowel disease: clinical aspects and established and evolving therapies
    Baumgart, Daniel C.
    Sandborn, William J.
    [J]. LANCET, 2007, 369 (9573) : 1641 - 1657
  • [5] Stepwise regulation of TH1 responses in autoimmunity:: IL-12-related cytokines and their receptors
    Becker, C
    Wirtz, S
    Neurath, MF
    [J]. INFLAMMATORY BOWEL DISEASES, 2005, 11 (08) : 755 - 764
  • [6] Tumor necrosis factor-alpha antibody for maintenace of remission in Crohn's disease
    Behm, B. W.
    Bickston, S. J.
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2008, (01):
  • [7] Soil-transmitted helminth infections: ascariasis, trichuriasis, and hookworm
    Bethony, J
    Brooker, S
    Albonico, M
    Geiger, SM
    Loukas, A
    Diemert, D
    Hotez, PJ
    [J]. LANCET, 2006, 367 (9521) : 1521 - 1532
  • [8] Helminths as governors of inflammatory bowel disease
    Buening, J.
    Homann, N.
    von Smolinski, D.
    Borcherding, F.
    Noack, F.
    Stolte, M.
    Kohl, M.
    Lehnert, H.
    Ludwig, D.
    [J]. GUT, 2008, 57 (08) : 1182 - 1183
  • [9] A META-ANALYSIS OF THE ROLE OF SMOKING IN INFLAMMATORY BOWEL-DISEASE
    CALKINS, BM
    [J]. DIGESTIVE DISEASES AND SCIENCES, 1989, 34 (12) : 1841 - 1854
  • [10] The effects of migration on ulcerative colitis: A three-year prospective study among Europeans and first- and second-generation South Asians in Leicester (1991-1994)
    Carr, I
    Mayberry, JF
    [J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 1999, 94 (10) : 2918 - 2922