Apoptosis, Inflammatory Bowel Disease and Carcinogenesis: Overview of International and Greek Experience

Apoptosis is critical for organ development, tissue homeostasis, the elimination of abnormal cells and the maintenance of immune homeostasis by variable regulatory mechanisms. The death of T lymphocytes following their activation involves a series of proteases (caspases), which comprise the central...

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Main Authors: Jannis Kountouras, Georgios Kouklakis, Christos Zavos, Dimitrios Chatzopoulos, John Moschos, Epaminodas Molyvas, Nikolaos Zavos
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2003/527060
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author Jannis Kountouras
Georgios Kouklakis
Christos Zavos
Dimitrios Chatzopoulos
John Moschos
Epaminodas Molyvas
Nikolaos Zavos
author_facet Jannis Kountouras
Georgios Kouklakis
Christos Zavos
Dimitrios Chatzopoulos
John Moschos
Epaminodas Molyvas
Nikolaos Zavos
author_sort Jannis Kountouras
collection DOAJ
description Apoptosis is critical for organ development, tissue homeostasis, the elimination of abnormal cells and the maintenance of immune homeostasis by variable regulatory mechanisms. The death of T lymphocytes following their activation involves a series of proteases (caspases), which comprise the central executioners of apoptosis. Abnormal regulation of apoptosis results in disease. T-cell resistance against apoptosis contributes to inappropriate T-cell accumulation and the perpetuation of the chronic inflammatory process in inflammatory bowel disease with potential tumourigenic effect. The use of antitumour necrosis factor-alpha, anti-interleukin-6R and anti-interleukin-12 antibodies suppresses colitis activity by induction of T-cell apoptosis, thereby having important implications for the design of effective therapeutic strategies in inflammatory bowel diseases. Contrary to international data, the incidence of cancer in Greek patients with inflammatory bowel disease appears to be low. A balance between cell proliferation (Ki-67 overexpression) and apoptosis (Bax protein overexpression) may partly explain the low incidence of cancer development in Greek inflammatory bowel disease patients.
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series Canadian Journal of Gastroenterology
spelling doaj-art-dc44214a68034c2987559f369fed995f2025-02-03T01:30:09ZengWileyCanadian Journal of Gastroenterology0835-79002003-01-0117424925810.1155/2003/527060Apoptosis, Inflammatory Bowel Disease and Carcinogenesis: Overview of International and Greek ExperienceJannis Kountouras0Georgios Kouklakis1Christos Zavos2Dimitrios Chatzopoulos3John Moschos4Epaminodas Molyvas5Nikolaos Zavos6Department of Medicine, Second Medical Clinic, Aristotle University of Thessaloniki, Ippokration Hospital, GreeceGastroenterology Department, 424 General Military Hospital, Thessaloniki, GreeceDepartment of Medicine, Second Medical Clinic, Aristotle University of Thessaloniki, Ippokration Hospital, GreeceDepartment of Medicine, Second Medical Clinic, Aristotle University of Thessaloniki, Ippokration Hospital, GreeceGastroenterology Department, 424 General Military Hospital, Thessaloniki, GreeceGastroenterology Department, 424 General Military Hospital, Thessaloniki, GreeceDepartment of Medicine, Second Medical Clinic, Aristotle University of Thessaloniki, Ippokration Hospital, GreeceApoptosis is critical for organ development, tissue homeostasis, the elimination of abnormal cells and the maintenance of immune homeostasis by variable regulatory mechanisms. The death of T lymphocytes following their activation involves a series of proteases (caspases), which comprise the central executioners of apoptosis. Abnormal regulation of apoptosis results in disease. T-cell resistance against apoptosis contributes to inappropriate T-cell accumulation and the perpetuation of the chronic inflammatory process in inflammatory bowel disease with potential tumourigenic effect. The use of antitumour necrosis factor-alpha, anti-interleukin-6R and anti-interleukin-12 antibodies suppresses colitis activity by induction of T-cell apoptosis, thereby having important implications for the design of effective therapeutic strategies in inflammatory bowel diseases. Contrary to international data, the incidence of cancer in Greek patients with inflammatory bowel disease appears to be low. A balance between cell proliferation (Ki-67 overexpression) and apoptosis (Bax protein overexpression) may partly explain the low incidence of cancer development in Greek inflammatory bowel disease patients.http://dx.doi.org/10.1155/2003/527060
spellingShingle Jannis Kountouras
Georgios Kouklakis
Christos Zavos
Dimitrios Chatzopoulos
John Moschos
Epaminodas Molyvas
Nikolaos Zavos
Apoptosis, Inflammatory Bowel Disease and Carcinogenesis: Overview of International and Greek Experience
Canadian Journal of Gastroenterology
title Apoptosis, Inflammatory Bowel Disease and Carcinogenesis: Overview of International and Greek Experience
title_full Apoptosis, Inflammatory Bowel Disease and Carcinogenesis: Overview of International and Greek Experience
title_fullStr Apoptosis, Inflammatory Bowel Disease and Carcinogenesis: Overview of International and Greek Experience
title_full_unstemmed Apoptosis, Inflammatory Bowel Disease and Carcinogenesis: Overview of International and Greek Experience
title_short Apoptosis, Inflammatory Bowel Disease and Carcinogenesis: Overview of International and Greek Experience
title_sort apoptosis inflammatory bowel disease and carcinogenesis overview of international and greek experience
url http://dx.doi.org/10.1155/2003/527060
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