Targeting the IL-17 Pathway in Inflammatory Disorders by Cong-Qiu Chu
Author:Cong-Qiu Chu
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham
4.5 Inflammatory Bowel Disease
Crohn’s disease is a chronic inflammatory bowel disease, which is also associated with extraintestinal manifestations such as peripheral arthritis and/or axial spondylitis. Genomic data have implicated the IL-23 and IL-17/Th17 pathway in /-17 axis in inflammatory bowel disease in general and Crohn’s disease in particular. SNPs in Il23r as well as in genes involved in IL-23 and IL-17 regulation have been reported in Crohn’s disease [34]. IL-17A-producing CD4+ Th17 cells are increased in both peripheral blood and lamina propria of Crohn’s disease [35]. However, conflicting results have been observed in Crohn’s disease when IL-23 is blocked or IL-17A and IL-17RA are blocked (see Chap. 5), that is, blockade of IL-23 is beneficial, while blocking IL-17 signaling either provides no benefit or is detrimental to Crohn’s disease [36–39].
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