2017
DOI: 10.1155/2017/4810258
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Recent Advances: The Imbalance of Cytokines in the Pathogenesis of Inflammatory Bowel Disease

Abstract: Cytokines play an important role in the immunopathogenesis of inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, where they drive and regulate multiple aspects of intestinal inflammation. The imbalance between proinflammatory and anti-inflammatory cytokines that occurs in IBD results in disease progression and tissue damage and limits the resolution of inflammation. Targeting cytokines have been novel strategies in the treatment of IBD. Recent studies show the beneficial effect… Show more

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Cited by 133 publications
(95 citation statements)
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References 99 publications
(147 reference statements)
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“…Tumor necrosis factor alpha (TNF-α) and interleukin 6 (IL-6) play essential roles in the pathophysiology of inflammatory bowel disease [29,30]. They modulate mucosal immune system, alter epithelial integrity, and orchestrate neutrophil and macrophage infiltration and activation which result in colonic injury.…”
Section: International Journal Of Chronic Diseasesmentioning
confidence: 99%
“…Tumor necrosis factor alpha (TNF-α) and interleukin 6 (IL-6) play essential roles in the pathophysiology of inflammatory bowel disease [29,30]. They modulate mucosal immune system, alter epithelial integrity, and orchestrate neutrophil and macrophage infiltration and activation which result in colonic injury.…”
Section: International Journal Of Chronic Diseasesmentioning
confidence: 99%
“…Similarly, in human studies, IL-10 is constitutively produced by healthy human colon explants, and depletion of IL-10 results in higher production of LPS-induced IFNγ, TNF, and IL-17, as well as increased epithelial damage and crypt loss [32]. In people with CD, IL-12, IL-23, and IL-1β are higher in the inflamed mucosa and serum compared to healthy controls [33,34]. IL-10 may be important to reduce inflammatory mediators and initiate remission in people with IBD.…”
Section: Discussionmentioning
confidence: 98%
“…The importance of Treg cells are further highlighted by (i) increased inflammation due to loss of IL-10, (ii) increased colitis due to impaired transforming growth factor-beta one (TGF-β1) signal transduction, (iii) impaired Treg cell function due to mutations in CD25 and IL-10, and (iv) reduced inflammation in the gut of recombination activating gene 1 knock out (RAG1 KO) mice upon adoptive co-transfer of T cells and Treg cells. Therefore, it is immensely important to be able to identify the immune ingredients that tilt this precarious immune imbalance of TH17 versus Treg cells towards a cure pathway [14][15][16][17].…”
Section: Immunological Pathogenesis In Ibdmentioning
confidence: 99%