Growth factors as treatment for inflammatory bowel disease: A concise review of the evidence toward their potential clinical utility


Por: Barahona-Garrido J., Hernandez-Calleros J., Garcia-Juarez I., Yamamoto-Furusho J.

Publicada: 1 ene 2009
Categoría: Gastroenterology

Resumen:
In the process of inflammation and repair of the intestinal mucosa in inflammatory bowel disease (IBD), there occurs a complex and an unknown interplay of innate and adaptive immune mechanisms. This interaction of factors may explain why IBD is characterized by a relapsing and remitting clinical course. Different components of innate immunity, hormones and interleukins in IBD have been suggested to be impaired. The growth hormone, epidermal growth factor, keratinocyte growth factor and colony-stimulating factors have emerged as potential tools for the modulation of intestinal inflammation and repair. Despite promising results of initial studies, the evidence that justify treatment of patients in clinical practice is not enough as some of the trials are nonrandomized or included a small number of patients. In this concise review, we provide a summary of the most recent and relevant evidence regarding the potential therapeutic effects of growth factors in IBD.

Filiaciones:
Barahona-Garrido J.:
 Inflammatory Bowel Disease Clinic, Department of Gastroenterology, Instituto Nacional de Ciencias Médicas Y Nutrición Salvador Zubirán, Mexico City, Mexico

 Universidad Nacional Autónoma de México, Mexico City, Mexico

 Instituto de Enfermedades Digestivas Y Nutricionales, Guatemala City, Guatemala

 Edificio Aristos Reforma, Oficina 109, Avenida Reforma 7-62 zona 9, Guatemala City, Guatemala

Hernandez-Calleros J.:
 Inflammatory Bowel Disease Clinic, Department of Gastroenterology, Instituto Nacional de Ciencias Médicas Y Nutrición Salvador Zubirán, Mexico City, Mexico

Garcia-Juarez I.:
 Inflammatory Bowel Disease Clinic, Department of Gastroenterology, Instituto Nacional de Ciencias Médicas Y Nutrición Salvador Zubirán, Mexico City, Mexico

 Universidad Nacional Autónoma de México, Mexico City, Mexico

Yamamoto-Furusho J.:
 Inflammatory Bowel Disease Clinic, Department of Gastroenterology, Instituto Nacional de Ciencias Médicas Y Nutrición Salvador Zubirán, Mexico City, Mexico

 Universidad Nacional Autónoma de México, Mexico City, Mexico
ISSN: 13193767
Editorial
Medknow Publications, India
Tipo de documento: Review
Volumen: 15 Número: 3
Páginas: 208-212
ID de PubMed: 19636186
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