First Department of Internal Medicine, University of Pavia and Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Cells. 2019 Apr 30;8(5):397. doi: 10.3390/cells8050397.
Inflammatory bowel disease (IBD) is caused by a dysregulated immune response against normal components of the intestinal microflora combined with defective functioning of anti-inflammatory pathways. Currently, all therapies approved for IBD manipulate the immune system by inhibiting pro-inflammatory mechanisms, such as tumor necrosis factor-α, gut-homing αβ integrin, interleukin-12/interleukin-23, and Janus kinases. However, some IBD patients are non-responders to these drugs, which are also associated with serious side effects. Thus, it has been hypothesized that therapies aimed at restoring anti-inflammatory signals, by exploiting the tolerogenic potential of cytokines (interleukin-10, transforming growth factor-β, granulocyte macrophage colony-stimulating factor), immune cells (regulatory T cells, tolerogenic dendritic cells), or mesenchymal stem cells, might offer promising results in terms of clinical efficacy with fewer side effects. In this review, we provide new insights into putative novel treatments aimed at restoring anti-inflammatory signaling pathways in IBD.
炎症性肠病 (IBD) 是由针对肠道微生物群落正常成分的免疫反应失调与抗炎途径功能缺陷共同引起的。目前,所有批准用于 IBD 的治疗方法都是通过抑制促炎机制来操纵免疫系统,例如肿瘤坏死因子-α、肠道归巢 αβ 整合素、白细胞介素-12/白细胞介素-23 和 Janus 激酶。然而,一些 IBD 患者对这些药物没有反应,而且这些药物还与严重的副作用有关。因此,有人假设,通过利用细胞因子(白细胞介素-10、转化生长因子-β、粒细胞巨噬细胞集落刺激因子)、免疫细胞(调节性 T 细胞、耐受性树突状细胞)或间充质干细胞的免疫耐受潜力来恢复抗炎信号的治疗方法,可能会在临床疗效方面提供有前途的结果,同时副作用更少。在这篇综述中,我们提供了针对 IBD 中恢复抗炎信号通路的潜在新型治疗方法的新见解。