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Updated: Jun 19, 2026

Dynamic Adhesion Assay for the Functional Analysis of Anti-adhesion Therapies in Inflammatory Bowel Disease
Published on: September 20, 2018
A systematic review and meta-analysis of anti-adhesion molecule therapy in patients with active Crohn's disease
1Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, PR China.
Objective:
Due to the crucial role played by adhesion molecules in the pathogenesis of Crohn's disease (CD), targeting of these molecules has recently been proposed as a new direction for the development of anti-inflammatory strategies for CD. The aim of this study was to provide up-to-date evidence on the effectiveness and safety of anti-adhesion molecule therapy in treating active CD.
Material And Methods:
We studied articles retrieved by PubMed, EMBASE, the Cochrane Library and the Science Citation Index for randomized controlled trials (RCTs) relevant to CD and anti-adhesion molecule therapy.
Results:
Seven RCTs comparing anti-adhesion molecule therapy with placebo were included in a meta-analysis to evaluate the efficacy and safety of anti-adhesion molecule strategies in active CD. On the basis of pooled results of the seven RCTs (n = 2228), we found a significant difference in clinical remission rates between groups [relative risk (RR) 1.31, 95% confidence interval (CI) 1.12-1.52, fixed-effect model]. Five RCTs (n = 2178) compared the response rates of anti-adhesion molecule therapy and placebo; in overall analysis, anti-adhesion molecule therapy was effective for active CD (RR 1.28, 95% CI 1.16-1.42, random-effect model). In five studies enrolling 1867 individuals, anti-adhesion molecule therapy did not increase adverse events (RR 1.03, 95% CI 0.98-1.08, fixed-effect model).
Conclusions:
Anti-adhesion molecule therapy, which could prevent leukocyte recruitment, was effective and safe for treating active CD. Because of the small number of studies included in this meta-analysis, the results should be interpreted with caution.
Insights
Anti-adhesion molecule therapy is effective and safe for treating active Crohn's disease (CD) by preventing leukocyte recruitment. Further research is needed due to the limited number of studies analyzed.
Area of Science:
- Gastroenterology
- Immunology
- Pharmacology
Background:
- Adhesion molecules play a critical role in Crohn's disease (CD) pathogenesis.
- Targeting adhesion molecules is a potential anti-inflammatory strategy for CD.
- Up-to-date evidence on anti-adhesion molecule therapy for active CD is needed.
Purpose of the Study:
- To evaluate the effectiveness of anti-adhesion molecule therapy in active CD.
- To assess the safety profile of anti-adhesion molecule therapy in active CD.
- To provide current evidence on this therapeutic approach.
Main Methods:
- Systematic literature search of PubMed, EMBASE, Cochrane Library, and Science Citation Index.
- Meta-analysis of randomized controlled trials (RCTs) comparing anti-adhesion molecule therapy with placebo.
- Inclusion of seven RCTs with a total of 2228 patients.
Main Results:
- Anti-adhesion molecule therapy significantly improved clinical remission rates in active CD (RR 1.31, 95% CI 1.12-1.52).
- Therapy was effective in achieving response rates (RR 1.28, 95% CI 1.16-1.42).
- No significant increase in adverse events was observed (RR 1.03, 95% CI 0.98-1.08).
Conclusions:
- Anti-adhesion molecule therapy is effective and safe for active CD.
- The therapy functions by preventing leukocyte recruitment.
- Results should be interpreted cautiously due to the small number of included studies.
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