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炎症性肠病治疗靶点的进展:新出现的目标与精准医学方法

Advancing Therapeutic Targets in IBD: Emerging Goals and Precision Medicine Approaches.

作者信息

Centanni Lucia, Cicerone Clelia, Fanizzi Fabrizio, D'Amico Ferdinando, Furfaro Federica, Zilli Alessandra, Parigi Tommaso Lorenzo, Peyrin-Biroulet Laurent, Danese Silvio, Allocca Mariangela

机构信息

Gastroenterology and Endoscopy, IRCCS Hospital San Raffaele, University Vita-Salute San Raffaele, 20132 Milan, Italy.

Department of Gastroenterology, INFINY Institute, INSERM NGERE, CHRU de Nancy, Université de Lorraine, F-54500 Vandœuvre-lès-Nancy, France.

出版信息

Pharmaceuticals (Basel). 2025 Jan 10;18(1):78. doi: 10.3390/ph18010078.

Abstract

Inflammatory bowel diseases (IBD) including Crohn's disease (CD) and ulcerative colitis (UC) are chronic, relapsing conditions characterized by dysregulated immune responses and persistent intestinal inflammation. This review aims to examine new potential therapeutic targets in IBD starting from the STRIDE-II statements. Key targets now include clinical remission, endoscopic remission, and biomarker normalization (such as C-reactive protein and fecal calprotectin). Moreover, histologic remission, transmural remission, and in the future molecular targets are emerging as important indicators of sustained disease control. The treatment goals for inflammatory bowel disease are varied: to relieve symptoms, prevent permanent intestinal damage, promote inflammation remission, and minimize complications. Consequently, the therapeutic targets have evolved to become broader and more ambitious. Integrating these advanced therapeutic targets has the potential to redefine IBD management by promoting deeper disease control and improved patient outcomes. Further research is essential to validate these strategies and optimize their clinical implementation.

摘要

炎症性肠病(IBD)包括克罗恩病(CD)和溃疡性结肠炎(UC),是一种慢性复发性疾病,其特征为免疫反应失调和持续性肠道炎症。本综述旨在从STRIDE-II声明出发,研究炎症性肠病新的潜在治疗靶点。目前的关键靶点包括临床缓解、内镜缓解和生物标志物正常化(如C反应蛋白和粪便钙卫蛋白)。此外,组织学缓解、透壁缓解以及未来的分子靶点正逐渐成为疾病持续控制的重要指标。炎症性肠病的治疗目标多种多样:缓解症状、预防永久性肠道损伤、促进炎症缓解并将并发症降至最低。因此,治疗靶点已变得更加广泛和宏大。整合这些先进的治疗靶点有可能通过促进更深入的疾病控制和改善患者预后,重新定义炎症性肠病的管理。进一步的研究对于验证这些策略并优化其临床应用至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dc1/11768140/7fea19adf432/pharmaceuticals-18-00078-g001.jpg

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