Advancing Therapeutic Targets in IBD: Emerging Goals and Precision Medicine Approaches

Inflammatory bowel diseases (IBD) including Crohn’s disease (CD) and ulcerative colitis (UC) are chronic, relapsing conditions characterized by dysregulated immune responses and persistent intestinal inflammation. This review aims to examine new potential therapeutic targets in IBD starting from the...

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Main Authors: Lucia Centanni, Clelia Cicerone, Fabrizio Fanizzi, Ferdinando D’Amico, Federica Furfaro, Alessandra Zilli, Tommaso Lorenzo Parigi, Laurent Peyrin-Biroulet, Silvio Danese, Mariangela Allocca
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Language:English
Published: MDPI AG 2025-01-01
Series:Pharmaceuticals
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Online Access:https://www.mdpi.com/1424-8247/18/1/78
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author Lucia Centanni
Clelia Cicerone
Fabrizio Fanizzi
Ferdinando D’Amico
Federica Furfaro
Alessandra Zilli
Tommaso Lorenzo Parigi
Laurent Peyrin-Biroulet
Silvio Danese
Mariangela Allocca
author_facet Lucia Centanni
Clelia Cicerone
Fabrizio Fanizzi
Ferdinando D’Amico
Federica Furfaro
Alessandra Zilli
Tommaso Lorenzo Parigi
Laurent Peyrin-Biroulet
Silvio Danese
Mariangela Allocca
author_sort Lucia Centanni
collection DOAJ
description Inflammatory bowel diseases (IBD) including Crohn’s disease (CD) and ulcerative colitis (UC) are chronic, relapsing conditions characterized by dysregulated immune responses and persistent intestinal inflammation. This review aims to examine new potential therapeutic targets in IBD starting from the STRIDE-II statements. Key targets now include clinical remission, endoscopic remission, and biomarker normalization (such as C-reactive protein and fecal calprotectin). Moreover, histologic remission, transmural remission, and in the future molecular targets are emerging as important indicators of sustained disease control. The treatment goals for inflammatory bowel disease are varied: to relieve symptoms, prevent permanent intestinal damage, promote inflammation remission, and minimize complications. Consequently, the therapeutic targets have evolved to become broader and more ambitious. Integrating these advanced therapeutic targets has the potential to redefine IBD management by promoting deeper disease control and improved patient outcomes. Further research is essential to validate these strategies and optimize their clinical implementation.
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institution Kabale University
issn 1424-8247
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publishDate 2025-01-01
publisher MDPI AG
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series Pharmaceuticals
spelling doaj-art-86382e0680fd4a76a225e06e9c9e6c6a2025-01-24T13:45:18ZengMDPI AGPharmaceuticals1424-82472025-01-011817810.3390/ph18010078Advancing Therapeutic Targets in IBD: Emerging Goals and Precision Medicine ApproachesLucia Centanni0Clelia Cicerone1Fabrizio Fanizzi2Ferdinando D’Amico3Federica Furfaro4Alessandra Zilli5Tommaso Lorenzo Parigi6Laurent Peyrin-Biroulet7Silvio Danese8Mariangela Allocca9Gastroenterology and Endoscopy, IRCCS Hospital San Raffaele, University Vita-Salute San Raffaele, 20132 Milan, ItalyGastroenterology and Endoscopy, IRCCS Hospital San Raffaele, University Vita-Salute San Raffaele, 20132 Milan, ItalyGastroenterology and Endoscopy, IRCCS Hospital San Raffaele, University Vita-Salute San Raffaele, 20132 Milan, ItalyGastroenterology and Endoscopy, IRCCS Hospital San Raffaele, University Vita-Salute San Raffaele, 20132 Milan, ItalyGastroenterology and Endoscopy, IRCCS Hospital San Raffaele, University Vita-Salute San Raffaele, 20132 Milan, ItalyGastroenterology and Endoscopy, IRCCS Hospital San Raffaele, University Vita-Salute San Raffaele, 20132 Milan, ItalyGastroenterology and Endoscopy, IRCCS Hospital San Raffaele, University Vita-Salute San Raffaele, 20132 Milan, ItalyDepartment of Gastroenterology, INFINY Institute, INSERM NGERE, CHRU de Nancy, Université de Lorraine, F-54500 Vandœuvre-lès-Nancy, FranceGastroenterology and Endoscopy, IRCCS Hospital San Raffaele, University Vita-Salute San Raffaele, 20132 Milan, ItalyGastroenterology and Endoscopy, IRCCS Hospital San Raffaele, University Vita-Salute San Raffaele, 20132 Milan, ItalyInflammatory bowel diseases (IBD) including Crohn’s disease (CD) and ulcerative colitis (UC) are chronic, relapsing conditions characterized by dysregulated immune responses and persistent intestinal inflammation. This review aims to examine new potential therapeutic targets in IBD starting from the STRIDE-II statements. Key targets now include clinical remission, endoscopic remission, and biomarker normalization (such as C-reactive protein and fecal calprotectin). Moreover, histologic remission, transmural remission, and in the future molecular targets are emerging as important indicators of sustained disease control. The treatment goals for inflammatory bowel disease are varied: to relieve symptoms, prevent permanent intestinal damage, promote inflammation remission, and minimize complications. Consequently, the therapeutic targets have evolved to become broader and more ambitious. Integrating these advanced therapeutic targets has the potential to redefine IBD management by promoting deeper disease control and improved patient outcomes. Further research is essential to validate these strategies and optimize their clinical implementation.https://www.mdpi.com/1424-8247/18/1/78new therapeutic targetsclinical remissionendoscopic remissionhistologic remissiontransmural remissiondeep remission
spellingShingle Lucia Centanni
Clelia Cicerone
Fabrizio Fanizzi
Ferdinando D’Amico
Federica Furfaro
Alessandra Zilli
Tommaso Lorenzo Parigi
Laurent Peyrin-Biroulet
Silvio Danese
Mariangela Allocca
Advancing Therapeutic Targets in IBD: Emerging Goals and Precision Medicine Approaches
Pharmaceuticals
new therapeutic targets
clinical remission
endoscopic remission
histologic remission
transmural remission
deep remission
title Advancing Therapeutic Targets in IBD: Emerging Goals and Precision Medicine Approaches
title_full Advancing Therapeutic Targets in IBD: Emerging Goals and Precision Medicine Approaches
title_fullStr Advancing Therapeutic Targets in IBD: Emerging Goals and Precision Medicine Approaches
title_full_unstemmed Advancing Therapeutic Targets in IBD: Emerging Goals and Precision Medicine Approaches
title_short Advancing Therapeutic Targets in IBD: Emerging Goals and Precision Medicine Approaches
title_sort advancing therapeutic targets in ibd emerging goals and precision medicine approaches
topic new therapeutic targets
clinical remission
endoscopic remission
histologic remission
transmural remission
deep remission
url https://www.mdpi.com/1424-8247/18/1/78
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