the sphingosine 1 phosphate/sphingosine 1 phosphate receptor axis‐a unique therapeutic target in inflammatory bowel disease
J Wang, I Goren, B Yang, S Lin, J Li… - Alimentary …, 2022 - Wiley Online Library
J Wang, I Goren, B Yang, S Lin, J Li, M Elias, C Fiocchi, F Rieder
Alimentary pharmacology & therapeutics, 2022•Wiley Online LibraryBackground Ozanimod, a high selective sphingosine 1 phosphate (S1P) receptor (S1PR)
1/5 modulator was approved by the Food and Drug Administration for the treatment of adult
patients with moderately to severely active ulcerative colitis. Additional S1PR modulators are
being tested in clinical development programmes for both ulcerative colitis and Crohn's
disease. Aim To provide an overview of advances in understanding S1PRs biology and
summarise preclinical and clinical investigations of S1P receptor modulators in chronic …
1/5 modulator was approved by the Food and Drug Administration for the treatment of adult
patients with moderately to severely active ulcerative colitis. Additional S1PR modulators are
being tested in clinical development programmes for both ulcerative colitis and Crohn's
disease. Aim To provide an overview of advances in understanding S1PRs biology and
summarise preclinical and clinical investigations of S1P receptor modulators in chronic …
Background
Ozanimod, a high selective sphingosine 1 phosphate (S1P) receptor (S1PR) 1/5 modulator was approved by the Food and Drug Administration for the treatment of adult patients with moderately to severely active ulcerative colitis. Additional S1PR modulators are being tested in clinical development programmes for both ulcerative colitis and Crohn's disease.
Aim
To provide an overview of advances in understanding S1PRs biology and summarise preclinical and clinical investigations of S1P receptor modulators in chronic inflammatory disease with special emphasis on inflammatory bowel diseases (IBD).
Methods
We performed a narrative review using PubMed and ClinicalTrials.gov.
Results
Through S1PRs, S1P regulates multiple cellular processes, including proliferation, migration, survival, and vascular barrier integrity. The S1PRs function of regulating lymphocyte trafficking is well known, but new functions of S1PRs expand our knowledge of S1PRs biology. Several S1PR modulators are in clinical development for both ulcerative colitis and Crohn's disease and have shown promise in phase II and III studies with ozanimod now being approved for ulcerative colitis.
Conclusions
S1P receptor modulators constitute a novel, promising, safe, and convenient strategy for the treatment of IBD.
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