University of Manitoba, Winnipeg, Canada.
Immunotherapy. 2010 Sep;2(5):727-42. doi: 10.2217/imt.10.51.
Inflammatory bowel disease (IBD) is characterized by increasing morbidity and, if suboptimally treated, poor prognosis. Recent evidence strongly suggests that dysfunctional immune responses play an important role in the pathogenesis of IBD. Therefore, immunologically downregulating the overactivated innate and adaptive immune responses may be a better approach to treat IBD than currently used pharmaceutical therapies. In recent years, many new biological therapies have been developed. These therapies are shown to be effective for inducing remission, preventing complications, improving life quality of the patients, and reducing hospitalization and surgical rates. This article introduces and discusses these new biological agents that have been used effectively in clinic for IBD patients.
炎症性肠病(IBD)的特点是发病率不断增加,如果治疗不当,预后不佳。最近的证据强烈表明,功能失调的免疫反应在 IBD 的发病机制中起着重要作用。因此,免疫下调过度激活的先天和适应性免疫反应可能是治疗 IBD 的一种更好方法,优于目前使用的药物治疗。近年来,已经开发出许多新的生物疗法。这些疗法已被证明可有效诱导缓解、预防并发症、改善患者生活质量、降低住院率和手术率。本文介绍并讨论了这些已在 IBD 患者临床中有效使用的新型生物制剂。