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2016 ; 22
(9
): 2255-64
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gab.com Text
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English Wikipedia
Interleukin-27 as a Novel Therapy for Inflammatory Bowel Disease: A Critical
Review of the Literature
#MMPMID27243591
Andrews C
; McLean MH
; Durum SK
Inflamm Bowel Dis
2016[Sep]; 22
(9
): 2255-64
PMID27243591
show ga
Inflammatory bowel disease (IBD) is an inflammatory disorder of the intestine
that affects an estimated 329 per 100,000 people in the United States and is
increasing in incidence within a number of cultures worldwide. Likely due to its
incompletely understood pathophysiology and etiology, the standard treatments for
IBD are only efficacious in subsets of patients and often do not induce lasting
remission. As a result, novel therapies are needed. The success of anti-tumor
necrosis factor-? treatment in a subset of patients with IBD demonstrated that
therapy targeting a single cytokine could be efficacious in IBD, and clinical
trials investigating the blockade of a variety of cytokines have commenced.
Interleukin (IL) 27 is a relatively recently discovered type I cytokine with
established roles in infectious disease, autoimmunity, and cancer in a variety of
organs. IL-27 was identified as a candidate gene for IBD, and a number of studies
in mouse models of IBD have demonstrated that IL-27 therapy is protective.
However, in contrast to these investigations, genetic deletion of the IL-27
receptor has been shown to be protective in some mouse models of IBD. The purpose
of this review is to highlight the recent literature investigating the role of
IL-27 in IBD and to discuss the possible explanations for the sometimes
conflicting results of these studies. Evidence supporting IL-27 therapy as a
treatment for IBD will also be discussed.