Atreya R, Neurath M F
Institute of Molecular Medicine, I. Medical Clinic, University of Mainz, Mainz, Germany.
Curr Drug Targets. 2008 May;9(5):369-74. doi: 10.2174/138945008784221116.
Although the precise etiology of inflammatory bowel diseases (IBD) still remains unclear, considerable progress has been made in the identification of novel signal transduction pathways that elucidate the immunopathogenesis involved in the perpetuation of the inflammatory process. As both ulcerative colitis and Crohn's disease are associated with an increased risk for developing colorectal cancer (CRC) and precancerous dysplastic epithelial changes, further studies have concentrated on finding a common signaling pathway that could serve as a mechanistic link between inflammation and associated colonic cancer in IBD. This review presents the current data concerning the pathogenic role of the IL-6/STAT-3 trans signaling pathway in IBD and colorectal cancer. Furthermore it evaluates the possible therapeutic potential of targeting this pathway for the therapy of IBD and CRC.
尽管炎症性肠病(IBD)的确切病因仍不清楚,但在识别阐明炎症过程持续存在所涉及的免疫发病机制的新信号转导途径方面已取得了相当大的进展。由于溃疡性结肠炎和克罗恩病都与患结直肠癌(CRC)及癌前发育异常上皮改变的风险增加有关,进一步的研究集中在寻找一条共同的信号通路,该通路可作为IBD中炎症与相关结肠癌之间的机制性联系。本综述介绍了有关IL-6/STAT-3转信号通路在IBD和结直肠癌中的致病作用的当前数据。此外,还评估了针对该通路治疗IBD和CRC的潜在治疗潜力。