1994
DOI: 10.1159/000171464
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Cytokines (Immunoinflammatory Hormones) and Their Natural Regulation in Inflammatory Bowel Disease (Crohn’s Disease and Ulcerative Colitis): A Review

Abstract: Cytokines, particularly the proinfiammatory cytokines, whose role and natural regulation in inflammatory bowel disease are reviewed here, are produced by many cell types, including immune cells. Cytokines function as important hormones of the immune system, and many act both regionally and systemically via specific receptors. The demonstration of increased circulating and mucosal levels of proinfiammatory (and other) cytokines (and receptors) in active inflammatory bowel disease does not by itself constitute a… Show more

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Cited by 71 publications
(40 citation statements)
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“…[2][3][4] The local production of tumor necrosis factor a (TNF-a ) is thought to have a key role in the initiation and propagation of Crohn's disease. [5][6][7] Production of TNF-a in the intestinal mucosa is increased in patients with Crohn's disease. [7][8][9] Neutralization of TNF-a has been suggested as a therapeutic intervention in inflammatory diseases, such as inflammatory bowel disease and rheumatoid arthritis.…”
Section: Discussionmentioning
confidence: 99%
“…[2][3][4] The local production of tumor necrosis factor a (TNF-a ) is thought to have a key role in the initiation and propagation of Crohn's disease. [5][6][7] Production of TNF-a in the intestinal mucosa is increased in patients with Crohn's disease. [7][8][9] Neutralization of TNF-a has been suggested as a therapeutic intervention in inflammatory diseases, such as inflammatory bowel disease and rheumatoid arthritis.…”
Section: Discussionmentioning
confidence: 99%
“…However, the diminished IFN-␥ and increased IL-10 expression observed in the CCR2-deficient mice may have been sufficient to decrease attenuate the severity of the colonic damage by reducing macrophage inflammatory function (54). The proinflammatory role of IFN-␥ in the activation of macrophages in animal models of IBD and in Crohn's disease has been well established (55,63). IL-10 is able to reduce macrophage secretion of inflammatory mediators by directly inhibiting NF-B activation (64).…”
Section: Discussionmentioning
confidence: 99%
“…IBD is represented by two specific gastrointestinal disorders: ulcerative colitis (UC) and Crohn's disease (CD), both of them characterized by chronic inflammatory processes. Although etiology and pathogenesis of IBD are still unknown, there is evidence that proinflammatory cytokines like interleukin-1β (IL1β) and interleukin-6 (IL6) are involved in the establishment of IBD [16,17]. IL1β and IL6 mRNA were found in large numbers of cells throughout the inflamed intestine of patients with CD but also in some macroscopically unaffected tissue specimens of the same patients [18].…”
Section: Introductionmentioning
confidence: 99%