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Novel therapeutic targets in the treatment of IBD

机译:在治疗IBD的新疗法靶标

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Background: Advances in mucosal immunology have revealed a broad set of new therapeutic targets to resolve inflammation and symptoms in patients with inflammatory bowel diseases (IBD). Objective: Despite the enormous success of anti-TNF therapies in IBD, these treatments have limited efficacy, and there continues to be concerns regarding their toxicity. Thus, a considerable unmet need exists for better treatment of these disorders. Methods: New therapeutic targets include other pro-inflammatory cytokines such as IL-6, IL-12, IL-17 or IFN-γ, and others. In addition, molecules directing trafficking of inflammatory cells such as integrin α4β7 or intracellular adhesion molecule 1 (ICAM-1) might be attractive candidates as anti-inflammatory targets. Targeting intestine-specific homing by blocking chemokine receptors such as CCR9 might provide a new avenue for treatment in the future. Conclusion: All these and many other different therapies are currently being investigated in IBD, the challenge will be to develop more effective therapies than those currently available.
机译:背景:粘膜免疫学的进展揭示了广泛的新治疗靶标,可以解决炎症性肠病(IBD)患者中的炎症和症状。目的:尽管IBD的抗TNF疗法巨大成功,但这些治疗有限有限,并且仍然存在对其毒性的担忧。因此,存在相当大的未掩盖,以便更好地治疗这些疾病。方法:新的治疗靶标包括其他促炎细胞因子,如IL-6,IL-12,IL-17或IFN-γ等。此外,指导抗炎症细胞如整联蛋白α4β7或细胞内粘附分子1(ICAM-1)的分子可能是有吸引力的候选者作为抗炎靶标。通过阻断CCR9等趋化因子受体来靶向肠特异性归巢,可以在将来提供新的治疗途径。结论:目前在IBD中调查了所有这些和许多其他不同的疗法,挑战将是发展比目前可用的疗法更有效的疗法。

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