New mediators of immunity and inflammation in inflammatory bowel disease
- 1 July 2006
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Current Opinion in Gastroenterology
- Vol. 22 (4), 361-364
- https://doi.org/10.1097/01.mog.0000231808.10773.8e
Abstract
In both Crohn's disease and ulcerative colitis, the tissue damage results from an inappropriate or exaggerated immune response to antigens of the gut microflora. This review summarizes current knowledge regarding the role of immune–inflammatory mediators in the pathogenesis of inflammatory bowel disease. Despite having a common basis in overresponsiveness to luminal antigens, Crohn's disease and ulcerative colitis are immunologically distinct entities. Crohn's disease is associated with a Th1 T cell-mediated response, characterized by enhanced production of interferon-γ and tumor necrosis factor-α. Interleukin (IL)-12 and, possibly, IL-23 govern the Th1 cell differentiation, but optimal induction and stabilization of polarized Th1 cells would require additional cytokines, such as IL-15, IL-18 and IL-21. In ulcerative colitis, the local immune response is less polarized, but it is characterized by CD1-reactive natural killer T cell production of IL-13. Beyond these differences, Crohn's disease and ulcerative colitis share important end-stage effector pathways of intestinal injury, which are mediated by an active cross-talk between immune and non-immune mucosal cells. The clarification of the complex network of immune–inflammatory mediators operating in the gut of patients with inflammatory bowel disease has led to the identification of new targets that could, in turn, drive the development of effective biological therapies.Keywords
This publication has 31 references indexed in Scilit:
- Myofibroblast Matrix Metalloproteinases Activate the Neutrophil Chemoattractant CXCL7 From Intestinal Epithelial CellsGastroenterology, 2006
- Targeted Deletion of Metalloproteinase 9 Attenuates Experimental Colitis in Mice: Central Role of Epithelial-Derived MMPGastroenterology, 2005
- Osteopontin/Eta-1 upregulated in Crohn's disease regulates the Th1 immune responseGut, 2005
- Interleukin-13 Is the Key Effector Th2 Cytokine in Ulcerative Colitis That Affects Epithelial Tight Junctions, Apoptosis, and Cell RestitutionGastroenterology, 2005
- Matrix metalloproteinases and the gut — new roles for old enzymesCurrent Opinion in Pharmacology, 2004
- A distinct subset of chemokines dominates the mucosal chemokine response in inflammatory bowel diseaseAlimentary Pharmacology & Therapeutics, 2004
- New cytokine therapeutics for inflammatory bowel diseaseCytokine, 2004
- Divergent cell cycle kinetics underlie the distinct functional capacity of mucosal T cells in Crohn's disease and ulcerative colitisGut, 2004
- T-bet upregulation and subsequent interleukin 12 stimulation are essential for induction of Th1 mediated immunopathology in Crohn's diseaseGut, 2004
- Oxazolone Colitis, a Th2 Colitis Model Resembling Ulcerative Colitis, Is Mediated by IL-13-Producing NK-T CellsImmunity, 2002