A Comprehensive Exploration of Therapeutic Strategies in Inflammatory Bowel Diseases: Insights from Human and Animal Studies

Biomedicines. 2024 Mar 26;12(4):735. doi: 10.3390/biomedicines12040735.

Abstract

Inflammatory bowel disease (IBD) is a collective term for a group of chronic inflammatory enteropathies which are characterized by intestinal inflammation and persistent or frequent gastrointestinal signs. This disease affects more than 3.5 million humans worldwide and presents some similarities between animal species, in particular, dogs and cats. Although the underlying mechanism that triggers the disease is not yet well understood, the evidence suggests a multifactorial etiology implicating genetic causes, environmental factors, microbiota imbalance, and mucosa immune defects, both in humans and in dogs and cats. Conventional immunomodulatory drug therapies, such as glucocorticoids or immunosuppressants, are related with numerous adverse effects that limit its long-term use, creating the need to develop new therapeutic strategies. Mesenchymal stromal cells (MSCs) emerge as a promising alternative that attenuates intestinal inflammation by modulating inflammatory cytokines in inflamed tissues, and also due to their pro-angiogenic, anti-apoptotic, anti-fibrotic, regenerative, anti-tumor, and anti-microbial potential. However, this therapeutic approach may have important limitations regarding the lack of studies, namely in veterinary medicine, lack of standardized protocols, and high economic cost. This review summarizes the main differences and similarities between human, canine, and feline IBD, as well as the potential treatment and future prospects of MSCs.

Keywords: cat; dog; human; inflammatory bowel disease; mesenchymal stromal cells; stem cells.

Publication types

  • Review

Grants and funding

This work was supported by National Funds from FCT—Portuguese Foundation for Science and Technology, under the project UIDB/04033/2020 of CITAB (https://doi.org/10.54499/UIDB/04033/2020) and project UIDB/00772/2020 of CECAV (https://doi.org/10.54499/UIDB/00772/2020). Inês E. Dias thanks FCT for her doctoral scholarship (2021.06827.BD).