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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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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.
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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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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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Body:Biologics, derived from living sources such as humans, animals, or microorganisms, represent a significant category of pharmaceuticals. These complex molecules, developed through advanced biotechnological methods or purified from natural sources, include essential medical treatments like insulin and growth hormones. The complexity of biologics arises from their large molecular structures and the intricate processes required for their production, making them distinct from conventional...
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Related Experiment Video

Updated: Nov 14, 2025

Multimodal Quantitative Phase Imaging with Digital Holographic Microscopy Accurately Assesses Intestinal Inflammation and Epithelial Wound Healing
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Biologic treatments in Behçet's disease.

Fatma Alibaz-Öner1, Haner Direskeneli1

  • 1Division of Rheumatology, Department of Internal Medicine, Marmara University School of Medicine, İstanbul, Turkey.

European Journal of Rheumatology
|March 9, 2021
PubMed
Summary

Behçet's disease (BD) management is evolving. Biologic therapies targeting specific pathways show promise for severe cases, but more research is needed to confirm their long-term efficacy and safety.

Area of Science:

  • Rheumatology
  • Immunology
  • Ophthalmology

Background:

  • Behçet's disease (BD) poses significant health risks, particularly vascular and ocular complications.
  • Standard immunosuppressive treatments are insufficient for some patients, leading to disease relapses and damage.

Purpose of the Study:

  • To review the current understanding and emerging biologic treatments for Behçet's disease.
  • To evaluate the efficacy and safety of biologic agents in managing major organ involvement in BD.

Main Methods:

  • Literature review of studies on biologic treatments for Behçet's disease.
  • Analysis of data from large series and clinical observations of biologic agent use.

Main Results:

  • Tumor necrosis factor-α inhibitors and interferon-α are effective for refractory ocular, neurologic, vascular, and gastrointestinal involvement.

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  • Anakinra, ustekinumab, IL-1 inhibitors, and tocilizumab show potential for mucocutaneous and ocular manifestations.
  • Conclusions:

    • Biologic therapies offer new avenues for treating severe Behçet's disease, especially major organ involvement.
    • Further randomized controlled trials are essential to establish the long-term efficacy, safety, and optimal use of biologics in BD.