New insights into an autoimmune mechanism, pharmacological treatment and relationship between multiple sclerosis and inflammatory bowel disease

Autoimmun Rev. 2014 Feb;13(2):114-6. doi: 10.1016/j.autrev.2013.09.011. Epub 2013 Oct 12.

Abstract

Inflammatory bowel disease (IBD) and multiple sclerosis (MS) are autoimmune diseases with a close relationship to their disease pattern and immunologic cascade with considerable morbidity and mortality. This article provides insight of why tumor necrosis factor blockers couldn't work in multiple sclerosis and why interferon-beta doesn't work in inflammatory bowel disease. In this article, we provide a detailed review of the linkage and potential interchangeable medication between IBD and MS in addition to Natalizumab, Trichuris suis egg therapy and vitamin D. Different treatment strategies may have potential in treating both diseases in the future.

Keywords: Blood brain barrier; Inflammatory bowel disease; Multiple sclerosis; Th17 cells.

Publication types

  • Review

MeSH terms

  • Animals
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Humans
  • Inflammatory Bowel Diseases / drug therapy
  • Inflammatory Bowel Diseases / immunology*
  • Inflammatory Bowel Diseases / therapy*
  • Interferon-beta / therapeutic use
  • Multiple Sclerosis / drug therapy
  • Multiple Sclerosis / immunology*
  • Multiple Sclerosis / therapy*
  • Natalizumab
  • Th17 Cells / immunology
  • Trichuris
  • Tumor Necrosis Factor-alpha / antagonists & inhibitors
  • Vitamin D / therapeutic use

Substances

  • Antibodies, Monoclonal, Humanized
  • Natalizumab
  • Tumor Necrosis Factor-alpha
  • Vitamin D
  • Interferon-beta