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关于各种抗血管内皮生长因子药物的比较性辩论:培加替尼钠(Macugen)、雷珠单抗(Lucentis)和贝伐单抗(Avastin)。

A comparative debate on the various anti-vascular endothelial growth factor drugs: pegaptanib sodium (Macugen), ranibizumab (Lucentis) and bevacizumab (Avastin).

作者信息

Nagpal Manish, Nagpal Kamal, Nagpal P N

机构信息

Retina Foundation, Ahmedabad, India.

出版信息

Indian J Ophthalmol. 2007 Nov-Dec;55(6):437-9. doi: 10.4103/0301-4738.36478.

Abstract

Wet age-related macular degeneration and diabetic retinopathy are pathological consequences of vascular endothelial growth factor (VEGF) release as a reaction to deficiency of oxygen and nutrients in the macular cells. Conventional treatment modalities have been constrained by limited success. Convincing evidence exists that targeting VEGF signaling is a significant approach for the therapy of these ocular angiogenesis-dependent disorders. We have come a long way since the approval of the first angiogenesis inhibitors in medicine. The clinical use of these drugs has provided enormous tempo to clinical and pharmacological research. It has also significantly altered patient outcome and expectations. In the following brief, we will discuss the development and emergence of these drugs as well as the anticipated future course based on evidence.

摘要

湿性年龄相关性黄斑变性和糖尿病性视网膜病变是黄斑细胞因缺氧和营养物质缺乏而释放血管内皮生长因子(VEGF)所导致的病理后果。传统治疗方式成效有限。有确凿证据表明,靶向VEGF信号传导是治疗这些眼部血管生成依赖性疾病的重要方法。自首批血管生成抑制剂在医学上获批以来,我们已经取得了长足的进展。这些药物的临床应用极大地推动了临床和药理学研究。它也显著改变了患者的治疗结果和期望。在接下来的简述中,我们将基于现有证据讨论这些药物的研发历程、出现情况以及未来预期走向。

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