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Editorial
. 2019 Aug;64(8):2068-2071.
doi: 10.1007/s10620-019-05706-3.

Climbing New Mountains: How Antibodies Blocking α4β7 Integrins Tamed Eosinophilic Inflammation of the Intestinal Tract

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Editorial

Climbing New Mountains: How Antibodies Blocking α4β7 Integrins Tamed Eosinophilic Inflammation of the Intestinal Tract

Courtney L Olbrich et al. Dig Dis Sci. 2019 Aug.
No abstract available

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Figures

Fig. 1
Fig. 1
Vedolizumab impacts leukocyte transmigration. The mucosal density of T lymphocytes and eosinophils increases in eosinophilic gastrointestinal disease inflammation. In the tissue space and upon stimulation, T lymphocytes can release cytokines that directly and indirectly promote eosinophil chemotaxis and activation. Vedolizumab blocks binding of the T lymphocyte-expressed gut-homing integrin α4β7 to its ligand mucosal vascular addressing cell adhesion molecule 1 (MAdCAM-1), specifically expressed on the endothelium of intestinal venules. Therefore, vedolizumab directly prevents the transmigration of T lymphocytes into the intestinal mucosa, indirectly impairing eosinophil recruitment and activation through preventing release of T cell-derived eosinophil-activating cytokines. Moreover, since α4β7 integrin is also expressed on eosinophils, vedolizumab may directly prevent eosinophil transmigration into intestinal tissues

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References

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Supplementary concepts