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Related Concept Videos

Inflammatory Bowel Disease IV: Pharmacological Management01:29

Inflammatory Bowel Disease IV: Pharmacological Management

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Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
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Drugs for Treatment of Ulcerative Colitis in IBD01:29

Drugs for Treatment of Ulcerative Colitis in IBD

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Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
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Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF01:24

Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF

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Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids01:21

Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids

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Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
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Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents01:29

Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents

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Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
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Related Experiment Video

Updated: May 5, 2026

Chronic Salmonella Infection Induced Intestinal Fibrosis
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Chronic Salmonella Infection Induced Intestinal Fibrosis

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Antibiotics and inflammatory bowel diseases.

Maria Lia Scribano1, Cosimo Prantera

  • 1Gastroenterology Operative Unit, Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy.

Digestive Diseases (Basel, Switzerland)
|November 20, 2013
PubMed
Summary

Antibiotics may alter gut microbiota, potentially influencing inflammatory bowel diseases like Crohn's disease (CD). While their therapeutic benefit in CD is debated, locally acting antibiotics show promise for managing this condition.

Area of Science:

  • Gastroenterology
  • Microbiology
  • Pharmacology

Background:

  • Inflammatory bowel diseases (IBD), including Crohn's disease (CD) and ulcerative colitis, are linked to gut microbiota dysbiosis.
  • Antibiotic use has been associated with CD onset, but not ulcerative colitis.
  • The role of Mycobacterium avium subspecies paratuberculosis (MAP) in CD etiology remains unconfirmed.

Purpose of the Study:

  • To evaluate the role of intestinal microbiota in CD pathogenesis.
  • To assess the therapeutic efficacy of antibiotics in managing CD.
  • To explore the potential of locally acting antibiotics for CD treatment.

Main Methods:

  • Review of existing data on antibiotic use and IBD.
  • Analysis of studies investigating the link between MAP and CD.

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Analyzing Beneficial Effects of Nutritional Supplements on Intestinal Epithelial Barrier Functions During Experimental Colitis
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  • Examination of clinical practice and research on antibiotic therapy for CD flares and postoperative recurrence.
  • Main Results:

    • Current data do not strongly support the general therapeutic benefit of antibiotics for CD.
    • Controversy exists regarding antibiotic use for acute CD flares and postoperative recurrence.
    • A subgroup of CD patients (colonic involvement, early disease, inflammation markers) may respond better to antibiotics.

    Conclusions:

    • The rationale for antibiotic use in CD stems from the role of gut microbiota.
    • Long-term antibiotic use is associated with significant side effects.
    • Locally acting antibiotics represent a promising therapeutic strategy for CD.