Etrolizumab, a monoclonal antibody against the β7 integrin subunit, has been found effective in ulcerative colitis. Now, a retrospective analysis of data from 110 patients with ulcerative colitis in a phase II placebo-controlled trial of etrolizumab and 21 patients who did not receive the drug or did not have IBD, reports that patients expressing high levels of granzyme A or integrin alpha E mRNA benefit most from etrolizumab. A reduction in T-cell activation and inflammatory cytokines seems to be involved.