From historical perspectives to modern therapy: a review of current and future biological treatments for Crohn’s disease

Crohn’s disease (CD) is a debilitating, systemic inflammatory disorder with both gastrointestinal and extraintestinal manifestations. Its existence predates modern medicine, but its precise etiology remains incompletely understood. Most authorities suggest a multifactorial pathogenesis owing to a mi...

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Main Authors: Charles W. Randall, John A. Vizuete, Nicholas Martinez, John J. Alvarez, Karthik V. Garapati, Mazyar Malakouti, Carlo M. Taboada
Format: Article
Language:English
Published: SAGE Publishing 2015-05-01
Series:Therapeutic Advances in Gastroenterology
Online Access:https://doi.org/10.1177/1756283X15576462
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author Charles W. Randall
John A. Vizuete
Nicholas Martinez
John J. Alvarez
Karthik V. Garapati
Mazyar Malakouti
Carlo M. Taboada
author_facet Charles W. Randall
John A. Vizuete
Nicholas Martinez
John J. Alvarez
Karthik V. Garapati
Mazyar Malakouti
Carlo M. Taboada
author_sort Charles W. Randall
collection DOAJ
description Crohn’s disease (CD) is a debilitating, systemic inflammatory disorder with both gastrointestinal and extraintestinal manifestations. Its existence predates modern medicine, but its precise etiology remains incompletely understood. Most authorities suggest a multifactorial pathogenesis owing to a mixture of genetic disorders, immunologic dysregulation, microbiota disequilibrium and environmental influences. Of these factors, the overactive immunologic response seen in CD appears to be the most promising target of medical therapy. Biological agents comprise a relatively new class of drugs that can induce and maintain remission in moderate to severe CD, as well as in ulcerative colitis. This review will provide an overview of CD, its history, clinical features, pathophysiology, and treatment options focusing on current and future biological agents with an emphasis on drug development, dosage and administration.
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spelling doaj.art-9071dcd42dfb49479f3434640bbe5bdf2022-12-21T22:48:36ZengSAGE PublishingTherapeutic Advances in Gastroenterology1756-283X1756-28482015-05-01810.1177/1756283X15576462From historical perspectives to modern therapy: a review of current and future biological treatments for Crohn’s diseaseCharles W. RandallJohn A. VizueteNicholas MartinezJohn J. AlvarezKarthik V. GarapatiMazyar MalakoutiCarlo M. TaboadaCrohn’s disease (CD) is a debilitating, systemic inflammatory disorder with both gastrointestinal and extraintestinal manifestations. Its existence predates modern medicine, but its precise etiology remains incompletely understood. Most authorities suggest a multifactorial pathogenesis owing to a mixture of genetic disorders, immunologic dysregulation, microbiota disequilibrium and environmental influences. Of these factors, the overactive immunologic response seen in CD appears to be the most promising target of medical therapy. Biological agents comprise a relatively new class of drugs that can induce and maintain remission in moderate to severe CD, as well as in ulcerative colitis. This review will provide an overview of CD, its history, clinical features, pathophysiology, and treatment options focusing on current and future biological agents with an emphasis on drug development, dosage and administration.https://doi.org/10.1177/1756283X15576462
spellingShingle Charles W. Randall
John A. Vizuete
Nicholas Martinez
John J. Alvarez
Karthik V. Garapati
Mazyar Malakouti
Carlo M. Taboada
From historical perspectives to modern therapy: a review of current and future biological treatments for Crohn’s disease
Therapeutic Advances in Gastroenterology
title From historical perspectives to modern therapy: a review of current and future biological treatments for Crohn’s disease
title_full From historical perspectives to modern therapy: a review of current and future biological treatments for Crohn’s disease
title_fullStr From historical perspectives to modern therapy: a review of current and future biological treatments for Crohn’s disease
title_full_unstemmed From historical perspectives to modern therapy: a review of current and future biological treatments for Crohn’s disease
title_short From historical perspectives to modern therapy: a review of current and future biological treatments for Crohn’s disease
title_sort from historical perspectives to modern therapy a review of current and future biological treatments for crohn s disease
url https://doi.org/10.1177/1756283X15576462
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