Tutuncu Z, Morgan G J, Kavanaugh A
The Center for Innovative Therapy, Division of Rheumatology Allergy and Immunology, UCSD, School of Medicine, La Jolla, California, USA.
Clin Exp Rheumatol. 2002 Nov-Dec;20(6 Suppl 28):S146-51.
The use of biological agents in inflammatory conditions is rapidly increasing. TNFalpha blocking treatments have changed the course of rheumatoid arthritis, Crohn's disease, juvenile rheumatoid arthritis and psoriatic arthritis. Open label studies with TNFalpha inhibitors in other inflammatory conditions such as adult Still's disease, uveitis, Wegener's granulomatosis, Behçet's disease, scleroderma, Sjögren's syndrome, sarcoidosis, pyoderma gangrenosum, polymyositis/dermatomyositis have shown promising results. However, whether anti-TNFalpha therapy can be safely and efficaciously applied to these other inflammatory disorders requires further controlled studies.
生物制剂在炎症性疾病中的应用正在迅速增加。肿瘤坏死因子α(TNFα)阻断治疗改变了类风湿性关节炎、克罗恩病、青少年类风湿性关节炎和银屑病关节炎的病程。在其他炎症性疾病如成人斯蒂尔病、葡萄膜炎、韦格纳肉芽肿病、白塞病、硬皮病、干燥综合征、结节病、坏疽性脓皮病、多发性肌炎/皮肌炎中使用TNFα抑制剂的开放标签研究已显示出有前景的结果。然而,抗TNFα治疗能否安全有效地应用于这些其他炎症性疾病还需要进一步的对照研究。