Chizzolini C
Service d'immunologie clinique et allergologie, HUG, 1211 Genève 14.
Rev Med Suisse. 2012 Jan 11;8(323):11-3.
The past year has been characterized by significant novelties from the point of view of the clinical immunologist. With the BLISS 52 study showing that belimumab has the ability to decrease the activity of systemic lupus erythematosus (SLE) resistant to conventional therapy an important step towards the control of this difficult disease has been carried forward. In addition, the long-term results of the ALMS study have demonstrated that mycophenolate mofetil is superior to azathioprine in maintaining the remission in patients with severe lupus nephritis. Furthermore, the results of the RAVE and RITUXVASC studies have documented that rituximab is a valid alternative to cyclophosphamide in the control of ANCA associated vasculitis.
从临床免疫学家的角度来看,过去一年有许多重大新进展。BLISS 52研究表明贝利尤单抗有能力降低对传统疗法耐药的系统性红斑狼疮(SLE)的活性,朝着控制这种疑难疾病迈出了重要一步。此外,ALMS研究的长期结果表明,在维持重症狼疮性肾炎患者缓解方面,霉酚酸酯优于硫唑嘌呤。此外,RAVE和RITUXVASC研究的结果证明,在控制抗中性粒细胞胞浆抗体(ANCA)相关血管炎方面,利妥昔单抗是环磷酰胺的有效替代药物。