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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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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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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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Genetically engineered bacteria as inflammatory bowel disease therapeutics.

Zhen-Ping Zou1, Xiao-Peng Zhang1, Qian Zhang1

  • 1Laboratory of Biosystems and Microanalysis, State Key Laboratory of Bioreactor Engineering, East China University of Science and Technology, Shanghai, 200237, China.

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Summary

Genetically engineered bacteria offer a novel approach for diagnosing and treating inflammatory bowel disease (IBD). This review highlights advancements in using synthetic biology for IBD management and discusses challenges in clinical translation.

Keywords:
Bacterial therapeuticsGenetically engineered bacteriaInflammatory bowel disease

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Area of Science:

  • Microbiology
  • Immunology
  • Synthetic Biology

Background:

  • Inflammatory bowel disease (IBD) is a chronic condition involving immune dysregulation and disruption of the gut microbiome.
  • Current IBD therapies manage symptoms but lack early diagnostic and intervention capabilities.

Purpose of the Study:

  • To review recent advancements in engineered bacteria for IBD detection and treatment.
  • To explore the potential of synthetic biology in developing novel IBD therapeutic strategies.

Main Methods:

  • Review of current literature on genetically engineered bacteria for IBD.
  • Analysis of bacterial modification for therapeutic molecule production and diagnostic functions.
  • Discussion of challenges in translating engineered bacteria into clinical applications.

Main Results:

  • Engineered bacteria can be designed for targeted IBD treatment and early detection.
  • Synthetic biology enables bacteria to produce therapeutic compounds or act as diagnostic sensors.
  • Significant challenges remain in the clinical translation of live bacterial therapeutics.

Conclusions:

  • Engineered bacteria represent a promising frontier for innovative IBD management.
  • Further research is needed to overcome delivery and safety hurdles for clinical use.
  • Synthetic biology holds potential to revolutionize IBD diagnosis and therapy.