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奥马珠单抗,重组人源化抗IgE单克隆抗体——治疗适应证的新研究领域

[Omalizumab, recombinant humanized monoclonal antibody anti-IgE -- new fields of studies on the therapeutic indications].

作者信息

Kupryś-Lipińska Izabela, Kuna Piotr

机构信息

Klinika Chorób Wewnetrznych Astmy i Alergii, Uniwersytecki Szpital Kliniczny Nr 1 im. Norberta Barlickiego w Łodzi, Uniwersytet Medyczny w Łodzi.

出版信息

Pneumonol Alergol Pol. 2009;77(1):43-51.

Abstract

Omalizumab is the monoclonal antibody against IgE, which blocks the binding of IgE to receptors on effector cells and this way blocks or decreases allergic reaction and asthma symptoms. Nowadays omalizumab is registered in the USA and European Union including Poland for treatment of patients with severe persistent, uncontrolled asthma. It is very effective in the reduction of asthma exacerbations, hospitalizations and emergency visits, it decreases intensity of symptoms and improves the quality of life. But omalizumab has more extensive action; given subcutaneously it has systemic effect. The article is the review of the studies and case reports on usage of omalizumab in new indications. Some authors' own experiences in this field are also presented.

摘要

奥马珠单抗是一种抗IgE单克隆抗体,它可阻断IgE与效应细胞上受体的结合,从而阻断或减轻过敏反应和哮喘症状。目前,奥马珠单抗在美国、欧盟(包括波兰)已获批用于治疗重度持续性、未得到控制的哮喘患者。它在减少哮喘发作、住院次数和急诊就诊方面非常有效,能减轻症状的严重程度并改善生活质量。但奥马珠单抗的作用更为广泛;皮下注射后具有全身效应。本文是对奥马珠单抗在新适应症应用方面的研究和病例报告的综述。文中还介绍了一些作者在该领域的自身经验。

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