Selective biologics for ulcerative colitis and Crohn's disease – clinical utility of vedolizumab
Jill MV Petkau, Bertus Eksteen Snyder Institute for Chronic Diseases, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada Abstract: Inflammatory bowel disease (IBD) encompasses a cluster of different disease phenotypes which are broadly classified into ulcerative colitis and Croh...
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Dove Medical Press
2016
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oai:doaj.org-article:16d54277c0ca45cd9a766de82cb513b82021-12-02T05:10:51ZSelective biologics for ulcerative colitis and Crohn's disease – clinical utility of vedolizumab1177-5491https://doaj.org/article/16d54277c0ca45cd9a766de82cb513b82016-03-01T00:00:00Zhttps://www.dovepress.com/selective-biologics-for-ulcerative-colitis-and-crohn39s-disease-ndash--peer-reviewed-article-BTThttps://doaj.org/toc/1177-5491Jill MV Petkau, Bertus Eksteen Snyder Institute for Chronic Diseases, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada Abstract: Inflammatory bowel disease (IBD) encompasses a cluster of different disease phenotypes which are broadly classified into ulcerative colitis and Crohn's disease. Disease pathogenesis is driven by abnormal host immune responses to their resident gut microbiome in genetically susceptible individuals. Clinical disease features and outcomes are heterogenous and not unexpected as over 163 genetic loci are associated with disease susceptibility, and there are great variability in environmental exposures. Despite this variability, there has been relatively few efficacious therapies for particularly moderate-to-severe IBD. Treatment has been dominated by antitumor necrosis alpha agents with significant success but equally potentially serious adverse events. Therapeutic targeting of leucocyte trafficking has emerged as a viable alternative therapy, with vedolizumab being the lead compound. This review focuses primarily on its biological function as a selective gut immunotherapy, its safety and efficacy, and its emerging role as a mainstream therapy in managing IBD. Keywords: adhesion molecule antagonist, anti-α4β7 integrin, inflammatory bowel disease, leukocyte trafficking, monoclonal antibody, selective gut immunotherapy, tumor necrosis factor alphaPetkau JMEksteen BDove Medical PressarticleVedolizumabUlcerative ColitisCrohn's diseaseMedicine (General)R5-920ENBiologics: Targets & Therapy, Vol 2016, Iss Issue 1, Pp 33-52 (2016) |
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Vedolizumab Ulcerative Colitis Crohn's disease Medicine (General) R5-920 |
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Vedolizumab Ulcerative Colitis Crohn's disease Medicine (General) R5-920 Petkau JM Eksteen B Selective biologics for ulcerative colitis and Crohn's disease – clinical utility of vedolizumab |
description |
Jill MV Petkau, Bertus Eksteen Snyder Institute for Chronic Diseases, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada Abstract: Inflammatory bowel disease (IBD) encompasses a cluster of different disease phenotypes which are broadly classified into ulcerative colitis and Crohn's disease. Disease pathogenesis is driven by abnormal host immune responses to their resident gut microbiome in genetically susceptible individuals. Clinical disease features and outcomes are heterogenous and not unexpected as over 163 genetic loci are associated with disease susceptibility, and there are great variability in environmental exposures. Despite this variability, there has been relatively few efficacious therapies for particularly moderate-to-severe IBD. Treatment has been dominated by antitumor necrosis alpha agents with significant success but equally potentially serious adverse events. Therapeutic targeting of leucocyte trafficking has emerged as a viable alternative therapy, with vedolizumab being the lead compound. This review focuses primarily on its biological function as a selective gut immunotherapy, its safety and efficacy, and its emerging role as a mainstream therapy in managing IBD. Keywords: adhesion molecule antagonist, anti-α4β7 integrin, inflammatory bowel disease, leukocyte trafficking, monoclonal antibody, selective gut immunotherapy, tumor necrosis factor alpha |
format |
article |
author |
Petkau JM Eksteen B |
author_facet |
Petkau JM Eksteen B |
author_sort |
Petkau JM |
title |
Selective biologics for ulcerative colitis and Crohn's disease – clinical utility of vedolizumab |
title_short |
Selective biologics for ulcerative colitis and Crohn's disease – clinical utility of vedolizumab |
title_full |
Selective biologics for ulcerative colitis and Crohn's disease – clinical utility of vedolizumab |
title_fullStr |
Selective biologics for ulcerative colitis and Crohn's disease – clinical utility of vedolizumab |
title_full_unstemmed |
Selective biologics for ulcerative colitis and Crohn's disease – clinical utility of vedolizumab |
title_sort |
selective biologics for ulcerative colitis and crohn's disease – clinical utility of vedolizumab |
publisher |
Dove Medical Press |
publishDate |
2016 |
url |
https://doaj.org/article/16d54277c0ca45cd9a766de82cb513b8 |
work_keys_str_mv |
AT petkaujm selectivebiologicsforulcerativecolitisandcrohn39sdiseasendashclinicalutilityofvedolizumab AT eksteenb selectivebiologicsforulcerativecolitisandcrohn39sdiseasendashclinicalutilityofvedolizumab |
_version_ |
1718400515206807552 |