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Crohn’s Disease: targeting map for better treatment?
23 mai 2025

#CrohnsDisease #CD #MAP #vaccine #vaccination
Crohn’s disease (CD) is a chronic inflammatory condition of the gastrointestinal tract, marked by persistent intestinal inflammation. Its etiology remains poorly understood, resulting from a complex interplay between genetic predisposition, environmental factors, immune dysregulation, and alterations of the gut microbiota. Despite therapeutic advances, the disease remains progressive, recurrent, and incurable. A significant unmet medical need persists, especially for patients with refractory disease or frequent relapses.
Among the pathogenic hypotheses being explored, the involvement of an intracellular infectious agent—particularly Mycobacterium avium subspecies paratuberculosis (MAP)—has regained interest. This mycobacterium has been detected in the intestinal tissues of some CD patients and may trigger or sustain a chronic immune response in genetically predisposed individuals.
Crohn’s disease (CD) is a chronic inflammatory condition of the gastrointestinal tract, marked by persistent intestinal inflammation. Its etiology remains poorly understood, resulting from a complex interplay between genetic predisposition, environmental factors, immune dysregulation, and alterations of the gut microbiota. Despite therapeutic advances, the disease remains progressive, recurrent, and incurable. A significant unmet medical need persists, especially for patients with refractory disease or frequent relapses.
Among the pathogenic hypotheses being explored, the involvement of an intracellular infectious agent—particularly Mycobacterium avium subspecies paratuberculosis (MAP)—has regained interest. This mycobacterium has been detected in the intestinal tissues of some CD patients and may trigger or sustain a chronic immune response in genetically predisposed individuals.
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Scientific reference
Sanderson J. et al. (2025) A phase 1b clinical trial to determine the safety […] of simian adenovirus & poxvirus vectored vaccines against a Mycobacterium avium complex subspecies in patients with active Crohn's disease. EBioMedicine, 113, 105570
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