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By blocking the interaction between α4β7 integrin and mucosal addressin cell adhesion molecule-1 (MAdCAM-1) on gut endothelial cells, it prevents the migration of these immune cells across the endothelium into inflamed gastrointestinal parenchymal tissue. This mechanism reduces chronic inflammation characteristic of ulcerative colitis and Crohn's disease. Notably, vedolizumab does not affect α4β1 or αEβ7 integrins, nor does it antagonize α4 integrin interactions with VCAM-1, providing gut-selective immunosuppression.","oneSentence":"Vedolizumab is a humanized monoclonal antibody that binds α4β7 integrin and blocks its interaction with MAdCAM-1, preventing memory T-lymphocyte migration into inflamed gastrointestinal tissue."},"administration":{"route":"Subcutaneous"},"safety":{"boxedWarnings":[],"safetySignals":[{"date":"","signal":"OFF LABEL USE","source":"FDA FAERS","actionTaken":"21828 reports"},{"date":"","signal":"COLITIS ULCERATIVE","source":"FDA FAERS","actionTaken":"14515 reports"},{"date":"","signal":"CROHN^S DISEASE","source":"FDA FAERS","actionTaken":"10631 reports"},{"date":"","signal":"DRUG INEFFECTIVE","source":"FDA FAERS","actionTaken":"9419 reports"},{"date":"","signal":"DIARRHOEA","source":"FDA FAERS","actionTaken":"8171 reports"},{"date":"","signal":"ABDOMINAL PAIN","source":"FDA FAERS","actionTaken":"6952 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