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炎症性肠病治疗的最新进展

Recent advances in inflammatory bowel disease therapy.

作者信息

Binienda Agata, Fichna Jakub, Salaga Maciej

机构信息

Department of Biochemistry, Faculty of Medicine, Medical University of Lodz, Mazowiecka 6/8, 92-215 Lodz, Poland.

Department of Biochemistry, Faculty of Medicine, Medical University of Lodz, Mazowiecka 6/8, 92-215 Lodz, Poland.

出版信息

Eur J Pharm Sci. 2020 Dec 1;155:105550. doi: 10.1016/j.ejps.2020.105550. Epub 2020 Sep 13.

Abstract

Inflammatory bowel disease (IBD) is a group of chronic, relapsing disorders of the gastrointestinal (GI) tract that significantly affect patient's quality of life. The main goals of IBD treatment are long-lasting clinical remission without serious adverse events. The lack of fully effective treatment urges researchers to seek for new therapeutic strategies and design of novel anti-inflammatory compounds. In this review, we focus on the latest advances in the IBD therapy. We characterize the clinical efficacy and mechanism of action of stem cell-, antibody- and small molecule-based methods of treatment that already reached clinic or are currently evaluated in clinical studies. The scope of this article is on agents targeting interleukin 12 and 23, integrins α4β7 and αEβ7, mucosal vascular addressin cell adhesion molecule, janus kinases, sphingosine-1-phosphate and toll-like receptor 9. We also describe recent advances in the discovery of biomarkers in IBD.

摘要

炎症性肠病(IBD)是一组胃肠道慢性复发性疾病,严重影响患者的生活质量。IBD治疗的主要目标是实现持久的临床缓解且无严重不良事件。由于缺乏完全有效的治疗方法,促使研究人员寻求新的治疗策略并设计新型抗炎化合物。在本综述中,我们重点关注IBD治疗的最新进展。我们阐述了已进入临床或正在临床研究中评估的基于干细胞、抗体和小分子的治疗方法的临床疗效及作用机制。本文的范围是针对白细胞介素12和23、整合素α4β7和αEβ7、黏膜血管地址素细胞黏附分子、janus激酶、鞘氨醇-1-磷酸和Toll样受体9的药物。我们还描述了IBD生物标志物发现方面的最新进展。

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