From Extracellular to Intracellular Targets, Inhibiting MAP Kinases in Treatment of Crohn's Disease

: In recent years the emphasis in finding new therapeutic options for chronic inflammatory diseases has been on targeting extracellular mediators of inflammation. A range of tools has become available to interfere with signaling by cytokines and their receptors. As our understanding of the intracell...

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Veröffentlicht in:Annals of the New York Academy of Sciences 2002-11, Vol.973 (1), p.349-358
Hauptverfasser: VAN DEN BLINK, BERNT, ten HOVE, TESSA, VAN DEN BRINK, GIJS R., PEPPELENBOSCH, MAIKEL P., VAN DEVENTER, SANDER J.H.
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container_end_page 358
container_issue 1
container_start_page 349
container_title Annals of the New York Academy of Sciences
container_volume 973
creator VAN DEN BLINK, BERNT
ten HOVE, TESSA
VAN DEN BRINK, GIJS R.
PEPPELENBOSCH, MAIKEL P.
VAN DEVENTER, SANDER J.H.
description : In recent years the emphasis in finding new therapeutic options for chronic inflammatory diseases has been on targeting extracellular mediators of inflammation. A range of tools has become available to interfere with signaling by cytokines and their receptors. As our understanding of the intracellular pathways that mediate inflammatory signals expands, new therapeutic targets within the inflammatory cells come into sight. In this review we will discuss possible intracellular targets for treatment in Crohn's disease, a chronic relapsing inflammatory disease of the gut. Despite the encouraging results with anti‐TNF antibodies in patients with Crohn's disease, our current treatment options are still insufficient and warrant novel treatment strategies. The mitogen‐activated protein kinase (MAPK) family of signal transduction proteins is an important intracellular mediator of inflammation, and recently a MAPK inhibitor was successfully used in patients with Crohn's disease. We will discuss our current understanding of the molecular pathophysiology of Crohn's disease and also novel therapies that specifically target members of the MAPK pathway.
doi_str_mv 10.1111/j.1749-6632.2002.tb04664.x
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Crohn Disease - drug therapy
Crohn Disease - enzymology
Crohn's disease
cytokines
Enzyme Inhibitors - therapeutic use
Extracellular Space - physiology
human
Humans
inflammation
Interferon-gamma - biosynthesis
Interleukin-12 - physiology
Interleukin-18 - physiology
Intracellular Fluid - physiology
MAP Kinase Signaling System - drug effects
MAP Kinase Signaling System - physiology
mitogen-activated protein kinases
Mitogen-Activated Protein Kinases - antagonists & inhibitors
Models, Biological
Th1/Th2 cells
therapy
Tumor Necrosis Factor-alpha - physiology
title From Extracellular to Intracellular Targets, Inhibiting MAP Kinases in Treatment of Crohn's Disease
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