生物制剂的未来:在食物过敏中的应用
The future of biologics: applications for food allergy.
作者信息
Bauer Rebecca N, Manohar Monali, Singh Anne Marie, Jay David C, Nadeau Kari C
机构信息
Division of Pediatric Immunology, Allergy, and Rheumatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif.
Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Ill.
出版信息
J Allergy Clin Immunol. 2015 Feb;135(2):312-23. doi: 10.1016/j.jaci.2014.12.1908.
Allergic diseases affect millions worldwide, with growing evidence of an increase in allergy occurrence over the past few decades. Current treatments for allergy include corticosteroids to reduce inflammation and allergen immunotherapy; however, some subjects experience treatment-resistant inflammation or adverse reactions to these treatments, and there are currently no approved therapeutics for the treatment of food allergy. There is a dire need for new therapeutic approaches for patients with poorly controlled atopic diseases and a need to improve the safety and effectiveness of allergen immunotherapy. Improved understanding of allergy through animal models and clinical trials has unveiled potential targets for new therapies, leading to the development of several biologics to treat allergic diseases. This review focuses on the mechanisms that contribute to allergy, with an emphasis on future targets for biologics for the treatment of food allergy. These biologics include immunotherapy with novel anti-IgE antibodies and analogs, small-molecule inhibitors of cell signaling, anti-type 2 cytokine mAbs, and TH1-promoting adjuvants.
过敏性疾病影响着全球数百万人,越来越多的证据表明在过去几十年中过敏发生率呈上升趋势。目前治疗过敏的方法包括使用皮质类固醇来减轻炎症以及进行过敏原免疫疗法;然而,一些患者会出现对治疗有抗性的炎症或对这些治疗产生不良反应,并且目前尚无获批用于治疗食物过敏的疗法。对于特应性疾病控制不佳的患者,迫切需要新的治疗方法,同时也需要提高过敏原免疫疗法的安全性和有效性。通过动物模型和临床试验对过敏的进一步了解揭示了新疗法的潜在靶点,从而促使了几种用于治疗过敏性疾病的生物制剂的研发。本综述着重于导致过敏的机制,重点关注用于治疗食物过敏的生物制剂的未来靶点。这些生物制剂包括使用新型抗IgE抗体及类似物进行免疫疗法、细胞信号传导的小分子抑制剂、抗2型细胞因子单克隆抗体以及促进TH1的佐剂。