1] National Amyloidosis Centre, UCL Medical School, Royal Free Hospital, London, UK [2] UCL Centre for Nephrology, UCL Medical School, Royal Free Hospital, London, UK.
National Amyloidosis Centre, UCL Medical School, Royal Free Hospital, London, UK.
Kidney Int. 2015 Mar;87(3):516-26. doi: 10.1038/ki.2014.368. Epub 2014 Dec 3.
Amyloidosis results from protein misfolding, and ongoing amyloid deposition can ultimately lead to organ failure and death. Historically, this is a group of diseases with limited treatment options and frequently poor prognosis. However, there are now 'targeted' therapeutics emerging in the form of stabilizers of the precursor protein, inhibitors of fibrillogenesis, fibril disruptors, and blockers of protein translation, transcription, and immunotherapy. We review many of these approaches that are currently being assessed in clinical trials.
淀粉样变性是由蛋白质错误折叠引起的,持续的淀粉样沉积最终可导致器官衰竭和死亡。从历史上看,这是一组疾病,治疗选择有限,预后通常较差。然而,目前正出现以前体蛋白稳定剂、纤维形成抑制剂、纤维破坏剂以及蛋白质翻译、转录和免疫治疗抑制剂为形式的“靶向”疗法。我们综述了目前正在临床试验中评估的许多此类方法。