Koenecke Christian, Förster Reinhold
Institute of Immunology, Hannover Medical School, Carl-Neuberg-Str.1, D-30625 Hannover, Germany.
Expert Opin Ther Targets. 2009 Mar;13(3):297-306. doi: 10.1517/14728220902762928.
The pathological features of inflammatory bowel disease (IBD) are associated with leukocyte cell infiltrates, which contribute to disease progression and persistence by production of proinflammatory mediators. Recruiting leukocytes to the gut involves local expression of chemokines that interact with receptors on the leukocytes' surface. Specific antagonists may interfere with leukocyte recruitment to the intestine. The chemokine receptor CCR9 is one of the key molecules in leukocyte homing to gut mucosa. CCR9 antagonists have been shown to retard progression in patients with IBD.
To discuss CCR9 as a potential target for the treatment of IBD.
A literature review.
RESULTS/CONCLUSIONS: The therapeutic effects of CCR9 antagonists, in combination with established therapies, should be evaluated in an attempt to slow down leukocyte recruitment at early stages of IBD.
炎症性肠病(IBD)的病理特征与白细胞浸润有关,白细胞通过产生促炎介质促进疾病进展和持续存在。将白细胞募集到肠道涉及趋化因子在局部的表达,趋化因子与白细胞表面的受体相互作用。特异性拮抗剂可能会干扰白细胞向肠道的募集。趋化因子受体CCR9是白细胞归巢至肠道黏膜的关键分子之一。已证明CCR9拮抗剂可延缓IBD患者的疾病进展。
探讨CCR9作为IBD治疗潜在靶点的可能性。
进行文献综述。
结果/结论:应评估CCR9拮抗剂与现有疗法联合使用的治疗效果,以期在IBD早期减缓白细胞募集。