Colorectal Polyposis and Immune-Based Therapies

The progression from precancerous (adenomatous) colon polyps to malignant colorectal cancer involves the complex actions of various cytokines on T cell proliferation, cell-cell adhesion, apoptosis and host immunity. A broad spectrum of new treatments, including innovative molecular therapies such as...

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Main Authors: Pearl Jacobson-Brown, Manuela G Neuman
Format: Article
Language:English
Published: Wiley 2004-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2004/742713
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author Pearl Jacobson-Brown
Manuela G Neuman
author_facet Pearl Jacobson-Brown
Manuela G Neuman
author_sort Pearl Jacobson-Brown
collection DOAJ
description The progression from precancerous (adenomatous) colon polyps to malignant colorectal cancer involves the complex actions of various cytokines on T cell proliferation, cell-cell adhesion, apoptosis and host immunity. A broad spectrum of new treatments, including innovative molecular therapies such as gene therapy and treatment with cytokines, is under experimental and preclinical investigation. Nonsteroidal anti-inflammatory drugs and selective cyclooxygenase-2 inhibitors have traditionally been used as inflammation-reducing agents in cases of colon adenoma. Currently, adjuvant immunotherapies such as recombinant gene therapy and antibody-cytokine fusion proteins are assuming a more significant role in the management of colorectal neoplasia. Furthermore, advances in antitumour necrosis factor antibodies for the treatment of ulcerative colitis and Crohn's disease may have potential as chemoprotective agents for the treatment of colon polyposis. The present review aims to discuss the immunological mechanisms underlying colon tumour progression and the molecular and immune-based therapies that are leading to new methods of prognosis and treatment.
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spelling doaj-art-2fe0b2b5b6624b37a284e563877148222025-02-03T05:53:47ZengWileyCanadian Journal of Gastroenterology0835-79002004-01-0118423924910.1155/2004/742713Colorectal Polyposis and Immune-Based TherapiesPearl Jacobson-Brown0Manuela G Neuman1In Vitro Toxicology Laboratory, Kunin-Lunenfeld Applied Research Unit, Baycrest Centre for Geriatric Care, Toronto, CanadaIn Vitro Toxicology Laboratory, Kunin-Lunenfeld Applied Research Unit, Baycrest Centre for Geriatric Care, Toronto, CanadaThe progression from precancerous (adenomatous) colon polyps to malignant colorectal cancer involves the complex actions of various cytokines on T cell proliferation, cell-cell adhesion, apoptosis and host immunity. A broad spectrum of new treatments, including innovative molecular therapies such as gene therapy and treatment with cytokines, is under experimental and preclinical investigation. Nonsteroidal anti-inflammatory drugs and selective cyclooxygenase-2 inhibitors have traditionally been used as inflammation-reducing agents in cases of colon adenoma. Currently, adjuvant immunotherapies such as recombinant gene therapy and antibody-cytokine fusion proteins are assuming a more significant role in the management of colorectal neoplasia. Furthermore, advances in antitumour necrosis factor antibodies for the treatment of ulcerative colitis and Crohn's disease may have potential as chemoprotective agents for the treatment of colon polyposis. The present review aims to discuss the immunological mechanisms underlying colon tumour progression and the molecular and immune-based therapies that are leading to new methods of prognosis and treatment.http://dx.doi.org/10.1155/2004/742713
spellingShingle Pearl Jacobson-Brown
Manuela G Neuman
Colorectal Polyposis and Immune-Based Therapies
Canadian Journal of Gastroenterology
title Colorectal Polyposis and Immune-Based Therapies
title_full Colorectal Polyposis and Immune-Based Therapies
title_fullStr Colorectal Polyposis and Immune-Based Therapies
title_full_unstemmed Colorectal Polyposis and Immune-Based Therapies
title_short Colorectal Polyposis and Immune-Based Therapies
title_sort colorectal polyposis and immune based therapies
url http://dx.doi.org/10.1155/2004/742713
work_keys_str_mv AT pearljacobsonbrown colorectalpolyposisandimmunebasedtherapies
AT manuelagneuman colorectalpolyposisandimmunebasedtherapies