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Can we target endogenous anti-inflammatory responses as a therapeutic strategy for inflammatory bowel disease?

  • Ross John Porter
  • , Caroline Andrews
  • , Daniel Paul Brice
  • , Scott Kenneth Durum
  • , Mairi Hall McLean (Lead / Corresponding author)

    Research output: Contribution to journalReview articlepeer-review

    Abstract

    Inflammatory bowel disease (IBD) describes chronic relapsing remitting inflammation of the gastrointestinal tract including ulcerative colitis and Crohn's disease. The prevalence of IBD is rising across the globe. Despite a growing therapeutic arsenal, current medical treatments are not universally effective, do not induce lasting remission in all, or are accompanied by short- and long-term adverse effects. Therefore, there is a clinical need for novel therapeutic strategies for IBD. Current treatments for IBD mainly manipulate the immune system for therapeutic gain by inhibiting pro-inflammatory activity. There is a robust endogenous immunoregulatory capacity within the repertoire of both innate and adaptive immune responses. An alternative treatment strategy for IBD is to hijack and bolster this endogenous capability for therapeutic gain. This review explores this hypothesis and presents current evidence for this therapeutic direction in immune cell function, cytokine biology, and alternative mechanisms of immunoregulation such as microRNA, oligonucleotides, and the endocannabinoid system.

    Original languageEnglish
    Pages (from-to)2123-2134
    Number of pages12
    JournalInflammatory Bowel Diseases
    Volume24
    Issue number10
    Early online date18 Jul 2018
    DOIs
    Publication statusPublished - Oct 2018

    Keywords

    • Crohn's disease
    • Cytokine
    • Immunoregulation
    • Inflammatory bowel disease
    • Treatment
    • Ulcerative colitis

    ASJC Scopus subject areas

    • Immunology and Allergy
    • Gastroenterology

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