推进IBD的治疗目标:新兴目标和精准医学方法。

IF 4.8 3区 医学 Q2 CHEMISTRY, MEDICINAL Pharmaceuticals Pub Date : 2025-01-10 DOI:10.3390/ph18010078
Lucia Centanni, Clelia Cicerone, Fabrizio Fanizzi, Ferdinando D'Amico, Federica Furfaro, Alessandra Zilli, Tommaso Lorenzo Parigi, Laurent Peyrin-Biroulet, Silvio Danese, Mariangela Allocca
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引用次数: 0

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,其特征是免疫反应失调和持续的肠道炎症。本综述旨在从STRIDE-II声明开始研究IBD新的潜在治疗靶点。现在的关键目标包括临床缓解、内镜缓解和生物标志物正常化(如c反应蛋白和粪便钙保护蛋白)。此外,组织学缓解、跨壁缓解和未来的分子靶点正在成为持续疾病控制的重要指标。炎症性肠病的治疗目标是多种多样的:缓解症状,防止永久性肠道损伤,促进炎症缓解,并尽量减少并发症。因此,治疗的目标已经演变成更广泛和更雄心勃勃。整合这些先进的治疗靶点有可能通过促进更深层次的疾病控制和改善患者预后来重新定义IBD的管理。进一步的研究是必要的,以验证这些策略和优化其临床实施。
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Advancing Therapeutic Targets in IBD: Emerging Goals and Precision Medicine Approaches.

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.

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来源期刊
Pharmaceuticals
Pharmaceuticals Pharmacology, Toxicology and Pharmaceutics-Pharmaceutical Science
CiteScore
6.10
自引率
4.30%
发文量
1332
审稿时长
6 weeks
期刊介绍: Pharmaceuticals (ISSN 1424-8247) is an international scientific journal of medicinal chemistry and related drug sciences.Our aim is to publish updated reviews as well as research articles with comprehensive theoretical and experimental details. Short communications are also accepted; therefore, there is no restriction on the maximum length of the papers.
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