Potential Human Models of Infammatory Bowel Disease

Similar to animal models of inflammatory bowel disease (IBD), there is no single human model representative of ulcerative colitis or Crohn's disease. An optimal human model awaits etiopathogenetic definitions and further reclassification or depiction of clinicopathological scenarios. Current hu...

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Main Author: Stephen B Hanauer
Format: Article
Language:English
Published: Wiley 1995-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1995/284725
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author Stephen B Hanauer
author_facet Stephen B Hanauer
author_sort Stephen B Hanauer
collection DOAJ
description Similar to animal models of inflammatory bowel disease (IBD), there is no single human model representative of ulcerative colitis or Crohn's disease. An optimal human model awaits etiopathogenetic definitions and further reclassification or depiction of clinicopathological scenarios. Current human models can be classified into models depicting risk of disease; preclinical disease; acute inflammation; and miscellaneous IBD. Family studies are the best means of pursuing patients at risk. Evolving genetic and serological markers may further identify subgroups to assess with permeability probes, leukocyte scans or endoscopy for preclinical disease. Provocation with nonsteroidal anti-inflammatory drugs (NSAIDs) may be useful in selected patients because NSAID mucosal damage may induce or mimic IBD. Alternative natural history or interventional studies in patients with human leukocyte antigen (HLA)-B27 spondylarthropathy may be useful. The disease margin and pouchitis are models within the disease state of ulcerative colitis as are the aphthous ulcer, anastomotic margin and diverted fecal stream for Crohn's disease. Newly defined colitides, such as microscopic and collagenous colitis and diversion colitis, also provide potential comparative models to evaluate mucosal immune, inflammatory, reparative, secretory and absorptive regulation.
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spelling doaj-art-90c81e5bd2cf4d6a9637d28716069f4e2025-02-03T01:00:51ZengWileyCanadian Journal of Gastroenterology0835-79001995-01-019631631810.1155/1995/284725Potential Human Models of Infammatory Bowel DiseaseStephen B Hanauer0University of Chicago Medical Center, Chicago, Illinois, USASimilar to animal models of inflammatory bowel disease (IBD), there is no single human model representative of ulcerative colitis or Crohn's disease. An optimal human model awaits etiopathogenetic definitions and further reclassification or depiction of clinicopathological scenarios. Current human models can be classified into models depicting risk of disease; preclinical disease; acute inflammation; and miscellaneous IBD. Family studies are the best means of pursuing patients at risk. Evolving genetic and serological markers may further identify subgroups to assess with permeability probes, leukocyte scans or endoscopy for preclinical disease. Provocation with nonsteroidal anti-inflammatory drugs (NSAIDs) may be useful in selected patients because NSAID mucosal damage may induce or mimic IBD. Alternative natural history or interventional studies in patients with human leukocyte antigen (HLA)-B27 spondylarthropathy may be useful. The disease margin and pouchitis are models within the disease state of ulcerative colitis as are the aphthous ulcer, anastomotic margin and diverted fecal stream for Crohn's disease. Newly defined colitides, such as microscopic and collagenous colitis and diversion colitis, also provide potential comparative models to evaluate mucosal immune, inflammatory, reparative, secretory and absorptive regulation.http://dx.doi.org/10.1155/1995/284725
spellingShingle Stephen B Hanauer
Potential Human Models of Infammatory Bowel Disease
Canadian Journal of Gastroenterology
title Potential Human Models of Infammatory Bowel Disease
title_full Potential Human Models of Infammatory Bowel Disease
title_fullStr Potential Human Models of Infammatory Bowel Disease
title_full_unstemmed Potential Human Models of Infammatory Bowel Disease
title_short Potential Human Models of Infammatory Bowel Disease
title_sort potential human models of infammatory bowel disease
url http://dx.doi.org/10.1155/1995/284725
work_keys_str_mv AT stephenbhanauer potentialhumanmodelsofinfammatoryboweldisease