Do you ever wonder what you really know about Crohn's Disease despite your experience and all the information out there? Do you find yourself unsettled, wondering why the pieces never seem to really fit together? Through simple questions linked to research evidence, this blog is a place where you can think quietly about Crohn's Disease, its cause, nature, and control. Join me in constructing a new view of Crohn's Disease. Your comments are gold.
1.7.11
Will suppression of IL 17 cytokines reduce the symptoms of CD in anti-TNF-resistant patients?
"Cytokine Regulation of Gut Inflammation in IBD" in Int J Clin Rev (2010)
"Anti-cytokine therapies, such as the three licensed anti-tumor necrosis factor-a (anti-TNF-a) antibodies, have transformed the management of difficult-to-treat IBD patients. However, only 40–50% of patients respond to these agents, there are side effects, and efficacy wanes with time. Consequently, great interest remains in new agents that may be more effective than anti-TNF-a antibodies. Here, we argue that no single agent will ever be clinically better than anti-TNF-a antibodies, and that there is no “Holy Grail” anti-cytokine biological therapy that will be clinically effective in all patients. Instead, work in this area should be focused on identifying new drugs targeting other cytokines (here, we concentrate on the interleukin-17 [IL-17] family and IL-21), which can be used logically in individual patients based on biomarker studies, as well as after failure of a first, second, or third biological treatment." [emphasis mine]
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