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A Jekyll and Hyde of cytokines: IL-25 both promotes and limits inflammatory diseases
April 10, 2006
PHILADELPHIA - The same signal responsible for promoting the type of immune responses that cause asthma and allergy can also limit the type of inflammation associated with debilitating diseases like inflammatory bowel disease, arthritis and multiple sclerosis, according to researchers from the University of Pennsylvania School of Veterinary Medicine. The researchers discovered how IL-25, a signaling protein known as a cytokine, both prevents destructive inflammation and promotes immune responses associated with asthma and allergic responses. The findings, which appear the April issue of the Journal of Experimental Medicine, suggest that manipulating IL-25 could provide a method to treat a wide variety of chronic inflammatory diseases.
"It appears that IL-25 has a Jekyll and Hyde personality: it can be helpful or hurtful depending on how it interacts with T helper cells, a subset of immune cells that influences inflammatory responses," said David Artis, an assistant professor in Penn's Department of Pathobiology and senior author of the study. "These studies show that IL-25 promotes type 2 T helper cells that drive the type of response required for eradicating worm infections and causing asthma. Importantly, IL-25 can simultaneously limit destructive inflammation caused by inflammatory T helper cells commonly found in diseases like inflammatory bowel disease, arthritis and MS."
IL-25 can be considered a "good" cytokine by limiting chronic inflammatory responses. At the same time, the ability of IL-25 to promote type 2 responses that drive asthma could be considered the "evil" side of the cytokine.
By examining mice infected with Trichuris, a species of intestinal parasites known as whipworms, the researchers were able to define IL-25's role in promoting type 2 inflammation to fight infection. In mice that lack the ability to produce IL-25, researchers saw a dramatic reduction in the ability to mount a type 2 response that eradicates the parasites. Furthermore, in the absence of IL-25, mice developed a destructive inflammatory response similar to that observed in models of inflammatory bowel disease.
These results also support the notion that the immune response that causes allergies and asthma is an evolutionary hangover resulting from mankind's historical fight with parasitic worm infections. That is, a type 2 response that was once useful in fighting worm infections has now become a dangerous menace, causing inflammatory responses to commonly encountered environmental antigens. About 30 percent of Americans suffer from the negative affects of type 2 inflammation: asthma and allergies. These conditions result from an inflammatory response to factors encountered in the environment, whether they are industrial air pollutants or molecules of peanut oil.
"It is possible that for most of human history, cytokines like IL-25 have promoted type 2 T helper cells that fight infection with intestinal parasites like Trichuris, " said Colby Zaph, a co-author and Irvington Research Fellow at Penn. "In industrialized countries, where worm infections are now rare, this redundant type 2 response is associated with diseases like asthma. "Identifying a role for IL-25 in this type of response may offer an exciting new avenue for treating diseases associated with dysregulated inflammatory responses,\\\
University of Pennsylvania
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Digestive Advantage Daily Dietary Management of Crohn's & Colitis Caplets, 32-Count Boxes (Pack of 2)
by Digestive Advantage
For Daily Dietary Management of Crohn's & Colitis. Helps relieve Inflammatory Bowel Disease symptoms! Only one per day! 24-Hour relief. Feel the advantage! Feel amazing results. Helps Relieve: Cramps; Bloating; Diarrhea; Abdominal discomfort. Digestive Ad
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Pocket Guide to Inflammatory Bowel Disease
by Sunanda V. Kane (Editor), Marla C. Dubinsky (Editor)
Patients with Inflammatory Bowel Disease (IBD) present special challenges for practitioners, whether in the office, in the clinic, or on the telephone. This easy to read, easy to use pocket guide has been written by respected clinicians to help anyone who cares for IBD patients identify key problems and make decisions about treatment. Each chapter is devoted to a particular complaint or symptom and covers conditions to consider, questions to ask, and tests to order. The guide also contains valuable information on medications, complementary and alternative therapies, dealing with special populations, and long-term concerns such as non-adherence.
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Inflammatory Bowel Disease (Home Use)
Inflammatory Bowl Disease, or IBD, is an umbrella term for several different gastrointestinal illnesses, by far the most prominent and serious being Crohn's Disease and Ulcerative Colitis (UC). Of the 1.2 million Americans currently estimated to have Inflammatory Bowel Disease, about half will have developed the condition between childhood and their 20's. But IBD can strike at any age; it targets both sexes equally; and, presently, there is no cure - although in life-threatening cases, removing the colon will effectively "end" Ulcerative Colitis. In this program we'll meet patients who have had IBD for some time, and young people who are just learning to deal with the limitations. We'll visit a camp in California that plays host to kids with Crohn's and Colitis for two weeks every summer....
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Inflammatory Bowel Disease: Diagnosis and Management of Crohn's Disease and Ulcerative Colitis (NCME Video 730)
Also With: Network For Continuing Medical Education (Primary Contributor), Daniel H. Present (Primary Contributor)
Daniel H. Present, MD, Clinical Professor of Medicine at the Mount Sinai School of Medicine, discusses the latest thinking regarding the diagnosis and management of inflammatory bowel disease (Crohn's disease and ulcerative colitis). Within the context of hypothetical patient cases, Dr. Present discusses the differential diagnosis of inflammatory bowel disease and the various treatment options for mild-to-moderate and moderate-to-severe disease, including the therapeutic role of 5-ASA drugs, immune modifiers, and other agents. The investigational use of antibody to tumor necrosis factor [alpha] [alpha] in treatment-resistant Crohn's disease is also addressed.
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FlameEz-Colon, 60 Capsules/Bottle
by FlameEz
Inflammatory bowel disease (IBD) is caused by chronic inflammation in digestive tract which leads to severe abdominal pain and diarrhea. Crohn's disease and ulcerative colitis are the most common forms of IBD. Chronic inflammation also plays a significant role in colon cancer. Inflammation promotes oxidative damage, DNA mutation, and cell transformation. Inflammatory mediators act as a tumor promoter, stimulate the proliferation of both untransformed and tumor cells. Tumor cells also amplify inflammatory responses by attracting more inflammatory cells to infiltrate the tumor. Such vicious cycle leads to tissue disruption and metastasis. The importance of inflammation in cancer progression has already led to clinical trials of anti-inflammatory cancer therapy. It is believed that...
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Pocket Guide to Inflammatory Bowel Disease (Software for download)
by Skyscape
This easy to read, easy to use resource has been designed with the busy health care provider in mind. Patients with Crohn's disease and ulcerative colitis - collectively known as Inflammatory Bowel Disease (IBD) - present special challenges for practitioners, whether in the office, in the clinic, or on the telephone. IBD patients typically require lifetime care, and grapple with a wide range of changing intestinal symptoms and extraintestinal concerns that can be confusing for the nonspecialist who may not know what to ask or what to do next. This resource is designed to help anyone who cares for these patients, identify the problems and make decisions about treatment.
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Gastric Gold Aloe Vera AMP 90 Count Bottle
by Alternative Health Products
Gastric Gold is helpful in reversing and correcting many digestive and gastrointestinal tract disorders and diseases. A.M.P. (Aloe Mucilaginous Polysaccharide) the main ingredient in Gastric Gold purifies the blood, cleanses the liver, restores and protects the digestive tract, while it works to stop the damaging causes of these painful conditions:
The Aloe Vera plant has been recognized for many years for its remarkable health-enhancing properties. In the past it was known for external applications for the skin only. Concentrated and stabilized Aloe (AMP) the active ingredient in Gastric Gold, is now widely used to help a variety of conditions in the digestive tract. The digestive tract is designed to ensure nutrients from food are absorbed into the blood stream while dispensing with...
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Inflammatory Bowel Disease: From Bench to Bedside
by Stephan R. Targan (Editor), Fergus Shanahan (Editor), Loren C. Karp (Editor)
Inflammatory Bowel Disease: From Bench to Bedside is a detailed and comprehensive story of the local and systemic pathophysiology of intestinal inflammation including management strategies. Research advances and current concepts of etiopathogenesis in the context of what is already known of the clinicopathologic features of these disorders are explored. This volume blends recent advances in the basic and clinical sciences as they relate to inflammatory bowel disease and emphasizes the effectiveness of a team approach of basic scientists and clinician investigators in this field.
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Recovery EQ HA for HORSES (2.2 lb)
by Recovery
Recovery EQ HA for horsesimproves circulation to tissues, speeds repair and slows or halts damage. It is an oral anti-inflammatory, anti-catabolic used primarily to improve recovery and decrease tissue breakdown, inflammation and pain associated with chronic degenerative conditions in horses, such as horse arthritis and horse autoimmune diseases. IngredientsGlucosamine hydrochloride10,000 mgMethylsulfonylmethane (MSM)10,000 mgVitamin C (magnesium ascorbate)1,400 mgTrimethylglycine hydrochloride1,000 mgNutricol1,000 mgVitamin E (natural d-alpha tocopheryl)750 IUMagnesium (magnesium ascorbate):525 mgHyaluronic acid -HA100 mgSuggested Use:Introduce gradually over two-week periods to a concentrated dose of 1/2 scoop per 300 lbs body weight. Mix with feed.After 10-60 days it may be possible to...
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Living with Psoriasis
Directed By: ITV Also With: ITV (Producer)
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