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Updated: May 11, 2025

Investigating Target Gene Function in a CD40 Agonistic Antibody-induced Colitis Model using CRISPR/Cas9-based Technologies
Published on: June 2, 2021
Management of refractory checkpoint inhibitor-induced colitis
Anas Zaher1, Maria Julia Moura Nascimento Santos2, Hassan Elsaygh3
1Department of Internal Medicine, New York Presbyterian - Brooklyn Methodist/Weill Cornell Medicine, Brooklyn, NY, USA.
Refractory immune-mediated diarrhea and colitis (r-IMDC) requires tailored treatments. This review covers r-IMDC epidemiology, pathophysiology, and management, highlighting future research directions for personalized care.
Area of Science:
- Gastroenterology and Oncology
- Clinical Immunology
Background:
- Refractory immune-mediated diarrhea and colitis (r-IMDC) presents a significant clinical challenge.
- Effective management is vital for optimizing antitumor responses while minimizing treatment toxicities.
Purpose of the Study:
- To review the epidemiology, pathophysiology, and associated factors of r-IMDC.
- To emphasize tailored treatment strategies for r-IMDC.
- To evaluate current second and third-line management options.
Main Methods:
- A comprehensive literature review of PubMed from 2015-2025.
- Focused on clinical trials, meta-analyses, and case reports concerning r-IMDC management.
Main Results:
- The review synthesizes current knowledge on r-IMDC.
- Identifies key factors influencing disease presentation and progression.
- Evaluates the efficacy and limitations of existing treatment modalities.
Conclusions:
- Tailored treatment strategies are essential for managing r-IMDC effectively.
- Careful evaluation of second and third-line options is necessary.
- Future research should focus on standardized protocols and predictive biomarkers for personalized r-IMDC treatment.
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