2016
DOI: 10.1177/1756283x16636781
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Mongersen, an oral Smad7 antisense oligonucleotide, in patients with active Crohn’s disease

Abstract: In Crohn's disease (CD), the tissue-damaging inflammation is sustained by defects of counter-regulatory mechanisms, which normally inhibit immune-inflammatory signals and promote repair of mucosal injury. In particular, in inflamed gut of CD patients there are elevated levels of Smad7, an intracellular protein that inhibits the function of transforming growth factor (TGF)-β1. Knockdown of Smad7 with a specific antisense oligonucleotide, named mongersen, restores TGF-β1 activity thus leading to suppression of i… Show more

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Cited by 38 publications
(32 citation statements)
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“…. Notably, enhancing TGF‐β signaling with Smad7 antisense nucleotides is a promising new therapeutic approach for IBD patients , and this would be a relevant setting to assess Th1‐to‐Th17‐cell conversion. However, since it is currently unclear whether Th1‐derived Th17 cells have the same pathogenic potential as conventional Th17 cells, any ensuing effects of Th1‐to‐Th17‐cell conversion on intestinal inflammation are difficult to predict.…”
Section: A Novel Pathway To Generate Th17 Cellsmentioning
confidence: 99%
“…. Notably, enhancing TGF‐β signaling with Smad7 antisense nucleotides is a promising new therapeutic approach for IBD patients , and this would be a relevant setting to assess Th1‐to‐Th17‐cell conversion. However, since it is currently unclear whether Th1‐derived Th17 cells have the same pathogenic potential as conventional Th17 cells, any ensuing effects of Th1‐to‐Th17‐cell conversion on intestinal inflammation are difficult to predict.…”
Section: A Novel Pathway To Generate Th17 Cellsmentioning
confidence: 99%
“…The MohanKumar K group proposed that, in human necrotizing enterocolitis macrophages, increased SMAD7 expression augmented nuclear factor-kappa B (NF-κB) activation and cytokine production via increasing the expression of IKK-α [20]. Zorzi F et al and Ardizzone S et al both illustrated that, in human inflammatory bowel tissue, interrupting SMAD7 inhibits the inflammation action [21,22].…”
Section: Discussionmentioning
confidence: 99%
“…The Mongersen showed clinical remission (55% with 40mg and 65% with 160mg) as compared to placebo (10%; p<0.001). 120,121 Currently, the two-randomized multicenter phase 3 clinical trial as induction and maintenance therapy for active CD (Clinical trial registry number NCT02685683 and NCT02641392) as well as an open-label phase 3 trial in CD (NCT02685683) and a multicenter phase 2 trial on UC (NCT02601300) with mongersen are in progress. 122 Recently, Aiolos, a member of the Ikaros family, has been found to promote Th17 differentiation by suppressing IL-2 production.…”
Section: Th17 and Treg Plasticity And Its Clinical Importancementioning
confidence: 99%