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Decade in review—IBD

IBD—genes, bacteria and new therapeutic strategies

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IBD is known to be associated with an abnormal response to an unbalanced gut microbiota in genetically predisposed individuals. The therapeutic goal now is to control progression of the disease. Given the heterogeneity of IBD, the two universes of basic and clinical science must work in parallel to realize the hope of personalized therapy.

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Figure 1: A treat-to-target strategy could be applied to all patients with IBD.

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Correspondence to Jean-Frederic Colombel.

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Competing interests

J.-F.C. has served as consultant, advisory board member or speaker for Abbvie, ABScience, Amgen, Bristol Meyers Squibb, Celltrion, Danone, Ferring, Genentech, Giuliani SPA, Given Imaging, Janssen, Immune Pharmaceuticals, Merck, Millenium Pharmaceuticals, Nutrition Science Partners, Pfizer. Prometheus Laboratories, Protagonist Therapeutics, Receptos, Sanofi, Schering Plough, Second Genome, Takeda, Teva Pharmaceuticals, UCB Pharma, Vertex and Dr August Wolff.

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Colombel, JF. IBD—genes, bacteria and new therapeutic strategies. Nat Rev Gastroenterol Hepatol 11, 652–654 (2014). https://doi.org/10.1038/nrgastro.2014.170

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