Article ; Online: Intestinal hypoxia and hypoxia-induced signalling as therapeutic targets for IBD.
Nature reviews. Gastroenterology & hepatology
2017 Volume 14, Issue 10, Page(s) 596–611
Abstract: Tissue hypoxia occurs when local oxygen demand exceeds oxygen supply. In chronic inflammatory conditions such as IBD, the increased oxygen demand by resident and gut-infiltrating immune cells coupled with vascular dysfunction brings about a marked ... ...
Abstract | Tissue hypoxia occurs when local oxygen demand exceeds oxygen supply. In chronic inflammatory conditions such as IBD, the increased oxygen demand by resident and gut-infiltrating immune cells coupled with vascular dysfunction brings about a marked reduction in mucosal oxygen concentrations. To counter the hypoxic challenge and ensure their survival, mucosal cells induce adaptive responses, including the activation of hypoxia-inducible factors (HIFs) and modulation of nuclear factor-κB (NF-κB). Both pathways are tightly regulated by oxygen-sensitive prolyl hydroxylases (PHDs), which therefore represent promising therapeutic targets for IBD. In this Review, we discuss the involvement of mucosal hypoxia and hypoxia-induced signalling in the pathogenesis of IBD and elaborate in detail on the role of HIFs, NF-κB and PHDs in different cell types during intestinal inflammation. We also provide an update on the development of PHD inhibitors and discuss their therapeutic potential in IBD. |
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MeSH term(s) | Humans ; Hypoxia/metabolism ; Hypoxia-Inducible Factor-Proline Dioxygenases/metabolism ; Inflammatory Bowel Diseases/drug therapy ; Inflammatory Bowel Diseases/immunology ; Inflammatory Bowel Diseases/metabolism ; Intestinal Mucosa/cytology ; Intestinal Mucosa/metabolism ; NF-kappa B/metabolism ; Signal Transduction |
Chemical Substances | NF-kappa B ; Hypoxia-Inducible Factor-Proline Dioxygenases (EC 1.14.11.29) |
Language | English |
Publishing date | 2017-10 |
Publishing country | England |
Document type | Journal Article ; Review |
ZDB-ID | 2493722-8 |
ISSN | 1759-5053 ; 1759-5045 |
ISSN (online) | 1759-5053 |
ISSN | 1759-5045 |
DOI | 10.1038/nrgastro.2017.101 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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