Molecular Advances in Inflammatory Bowel Disease

A special issue of Biomolecules (ISSN 2218-273X). This special issue belongs to the section "Molecular Medicine".

Deadline for manuscript submissions: 31 December 2024 | Viewed by 2512

Special Issue Editors


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Guest Editor
Hepatogastroenterology Unit, Department of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, Italy
Interests: inflammatory bowel disease; ulcerative colitis; gastrointestinal disorders

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Guest Editor
Department of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, Italy
Interests: inflammatory bowel diseases; Crohn’s disease; ulcerative colitis; inflammation; gastrointestinal endoscopy

Special Issue Information

Dear Colleagues,

Inflammatory bowel diseases (IBDs) are chronic digestive diseases that affect the gastrointestinal system, primarily ulcerative colitis and Crohn's disease. The therapeutic management of IBDs lies in medical therapy (traditional and biological) and, when required, surgical treatment. This Special Issue aims to collect recent research in the field of molecular advances in IBD in a range of possibilities, from the rediscovery and/or implementation of new diagnostic/prognostic molecular methods (including IBD gastrointestinal endoscopy) to new evidence related to traditional and biological therapy (including small molecules and drug monitoring). Hearings will also be given to papers about patient-reported outcomes connected to all aspects of quality of life for patients with IBD if related to molecular mediators.

Dr. Antonietta Gerarda Gravina
Dr. Raffaele Pellegrino
Guest Editors

Manuscript Submission Information

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Keywords

  • inflammatory bowel disease
  • Crohn’s disease
  • ulcerative colitis
  • biologics
  • quality of life
  • diagnostic markers
  • prognostic markers
  • drug monitoring
  • antibodies

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Published Papers (2 papers)

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Research

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15 pages, 7962 KiB  
Article
Diminished Immune Response and Elevated Abundance in Gut Microbe Dubosiella in Mouse Models of Chronic Colitis with GBP5 Deficiency
by Yichen Li, Wenxia Wang, Yuxuan Liu, Senru Li, Jingyu Wang and Linlin Hou
Biomolecules 2024, 14(7), 873; https://doi.org/10.3390/biom14070873 - 20 Jul 2024
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Abstract
Guanylate binding protein 5 (GBP5) is an emerging immune component that has been increasingly recognized for its involvement in autoimmune diseases, particularly inflammatory bowel disease (IBD). IBD is a complex disease involving inflammation of the gastrointestinal tract. Here, we explored the functional significance [...] Read more.
Guanylate binding protein 5 (GBP5) is an emerging immune component that has been increasingly recognized for its involvement in autoimmune diseases, particularly inflammatory bowel disease (IBD). IBD is a complex disease involving inflammation of the gastrointestinal tract. Here, we explored the functional significance of GBP5 using Gbp5 knockout mice and wildtype mice exposed to dextran sulfate sodium (DSS) to generate chronic colitis model. We found that Gbp5 deficiency protected mice from DSS-induced chronic colitis. Transcriptome analysis of colon tissues showed reduced immune responses in Gbp5 knockout mice compared to those in corresponding wildtype mice. We further observed that after repeated DSS exposure, the gut microbiota was altered, both in wildtype mice and Gbp5 knockout mice; however, the gut microbiome health index was higher in the Gbp5 knockout mice. Notably, a probiotic murine commensal bacterium, Dubosiella, was predominantly enriched in these knockout mice. Our findings suggest that GBP5 plays an important role in promoting inflammation and dysbiosis in the intestine, the prevention of which might therefore be worth exploring in regards to IBD treatment. Full article
(This article belongs to the Special Issue Molecular Advances in Inflammatory Bowel Disease)
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Review

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13 pages, 718 KiB  
Review
Are Small Molecules Effective in Treating Inflammatory Pouch Disorders Following Ileal Pouch-Anal Anastomosis for Ulcerative Colitis? Here Is Where We Stand
by Antonietta Gerarda Gravina, Raffaele Pellegrino, Giovanna Palladino, Giuseppe Imperio, Francesco Calabrese, Andrea Pasta, Edoardo Giovanni Giannini, Alessandro Federico and Giorgia Bodini
Biomolecules 2024, 14(9), 1164; https://doi.org/10.3390/biom14091164 - 17 Sep 2024
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Abstract
Ulcerative colitis (UC) management encompasses conventional and advanced treatments, including biological therapy and small molecules. Surgery, particularly in the form of ileal pouch-anal anastomosis (IPAA), is indicated in cases of refractory/severe disease. IPAA can lead to acute complications (e.g., acute pouchitis) as well [...] Read more.
Ulcerative colitis (UC) management encompasses conventional and advanced treatments, including biological therapy and small molecules. Surgery, particularly in the form of ileal pouch-anal anastomosis (IPAA), is indicated in cases of refractory/severe disease. IPAA can lead to acute complications (e.g., acute pouchitis) as well as late complications, including chronic inflammatory disorders of the pouch. Chronic pouchitis, including the antibiotic-dependent (CADP) and antibiotic-refractory (CARP) forms, represents a significant and current therapeutic challenge due to the substantial need for evidence regarding viable treatment options. Biological therapies have shown promising results, with infliximab, adalimumab, ustekinumab, and vedolizumab demonstrating some efficacy in chronic pouchitis; however, robust randomized clinical trials are only available for vedolizumab. This narrative review focuses on the evidence concerning small molecules in chronic pouchitis, specifically Janus kinase (JAK) inhibitors and sphingosine-1-phosphate receptor (S1P-R) modulators. According to the preliminary studies and reports, Tofacitinib shows a potential effectiveness in CARP. Upadacitinib presents variable outcomes from the case series, necessitating further evaluation. Filgotinib and ozanimod demonstrate anecdotal efficacy. This review underscores the need for high-quality studies and real-world registries to develop robust guidelines for advanced therapies in post-IPAA inflammatory disorders, supported by vigilant clinical monitoring and ongoing education from international IBD specialist societies. Full article
(This article belongs to the Special Issue Molecular Advances in Inflammatory Bowel Disease)
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