Institute of Clinical Biochemistry, Hannover Medical School, Hannover, Germany.
Expert Opin Ther Targets. 2024 Jan-Feb;28(1-2):57-65. doi: 10.1080/14728222.2024.2306341. Epub 2024 Jan 23.
Inflammatory bowel disease (IBD) is an umbrella term that includes different chronic inflammatory diseases of the gastrointestinal tract, most commonly Crohn's disease and ulcerative colitis. IBD affects more than 6 million people worldwide and constitutes not only a debilitating disease for the patients, but also a significant factor for society due to costs for health care and reduced working capacity. Despite the introduction of biologicals for the treatment of IBD, the identification of novel targets that could lead to novel therapeutics is still needed.
In this review, we summarize current knowledge about the interleukin-6 family of cytokines as potential therapeutic targets for improving the therapy of patients with IBD. We discuss cytokines like IL-6 itself for which therapeutics such as inhibitory monoclonal antibodies have already entered the clinics, but also focus on other family members whose therapeutic potential has not been explored yet.
The different cytokines of the IL-6 family offer multiple therapeutic targets that can potentially be used to treat patients with inflammatory bowel disease, but unwanted side effects like inhibition of epithelial regeneration have to be considered.
炎症性肠病(IBD)是一个总称,包括胃肠道的几种不同的慢性炎症性疾病,最常见的是克罗恩病和溃疡性结肠炎。IBD 影响着全球超过 600 万人,不仅是患者致残的疾病,也给社会带来了巨大的医疗成本和工作能力下降的负担。尽管已经引入了生物制剂来治疗 IBD,但仍需要确定新的靶点,以开发新的治疗方法。
在这篇综述中,我们总结了细胞因子白细胞介素-6 家族作为改善 IBD 患者治疗的潜在治疗靶点的最新知识。我们讨论了像白细胞介素-6 本身这样的细胞因子,已经有抑制性单克隆抗体等治疗方法进入临床,但也关注了其他尚未探索治疗潜力的家族成员。
白细胞介素-6 家族的不同细胞因子提供了多个潜在的治疗靶点,可用于治疗炎症性肠病患者,但必须考虑到抑制上皮再生等不良反应。