Rheumatology Unit, Department of Internal Medicine, University of Pisa, Italy.
Clin Exp Rheumatol. 2012 Jan-Feb;30(1 Suppl 70):S130-8. Epub 2012 May 11.
The last two years have been marked by significant achievement in the identification of the basic mechanisms of systemic vasculitis and in the translation of these mechanisms into targeted therapies. More specifically, new insights into the environmental, cellular, and genetic factors involved in the pathogenesis of systemic vasculitis have been provided. Consequently, several studies focused on the development of novel strategies to achieve and maintain clinical remission in small- and large-vessel vascultis, including relevant large multicentre trials, have been promoted. The highlights of these studies, their potential clinical implications and the unmet needs, which are still to be addressed, are summarised in this review.
过去两年,在系统性血管炎的基础机制研究以及将这些机制转化为靶向治疗方面取得了重大成就。更具体地说,人们对系统性血管炎发病机制中涉及的环境、细胞和遗传因素有了新的认识。因此,促进了几项专注于开发新策略以实现和维持小血管和大血管血管炎临床缓解的研究,包括相关的大型多中心试验。本综述总结了这些研究的重点、它们的潜在临床意义以及尚未解决的未满足需求。