Pediatric Inflammatory Bowel Disease pp 25-33 | Cite as
Cytokines and Inflammatory Bowel Disease
Abstract
The etiology of inflammatory bowel diseases (IBD) is generally described as multifactorial including genetic predisposition, environmental insult, and a dysregulated immune response. The immune response is the only one of these that is currently amenable to therapy. Understanding the factors that go into the activation of the inflammation, and those that perpetuate this effect is improving greatly. With this mastery we are able to define the cytokines that are important in the etiology of IBD. Over the past 15 years, many of the newest and arguably the most successful therapies for Crohn disease (CD) and ulcerative colitis (UC) have been due to an increased understanding of the immune response and specifically the cytokines essential to this response.
As stated earlier, IBD is in part due to a dysregulated or an inappropriate immune reaction, which has been thought in part to be against to the microflora of the gut. Upon activation of the immune system, cytokines and chemokines, which are proteins produced by the cells involved in the immune response, are produced, and trigger a cascade of downstream reactions. These cytokines are increasingly being defined as important molecules in the pathogenesis of IBD as well as putative and known targets for the therapy of IBD.
Keywords
Inflammatory Bowel Disease Ulcerative Colitis Treg Cell Regulatory Cell Inflammatory Bowel Disease PatientReferences
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