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当前及未来的药理学补体抑制剂。

Current and future pharmacologic complement inhibitors.

作者信息

Risitano Antonio M

机构信息

Bone Marrow Transplantation Clinical Unit, Hematology, Department of Clinical Medicine and Surgery, Federico II University of Naples, Via Pansini 5, Naples 80131, Italy.

出版信息

Hematol Oncol Clin North Am. 2015 Jun;29(3):561-82. doi: 10.1016/j.hoc.2015.01.009. Epub 2015 Apr 4.

DOI:10.1016/j.hoc.2015.01.009
PMID:26043392
Abstract

The availability of anticomplement therapies has been a major achievement for medicine in the last decade. Indeed, eculizumab has changed the treatment paradigm of paroxysmal nocturnal hemoglobinuria and atypical hemolytic uremic syndrome and promises to do the same in several other human complement-mediated diseases. Nowadays, a 10-year experience has also taught us that there are some pitfalls that represent a challenge to improve the current anticomplement treatment. Most of these observations come from paroxysmal nocturnal hemoglobinuria, where unmet clinical needs are emerging, triggering the attention of several investigators and pharmaceutical companies.

摘要

在过去十年中,抗补体疗法的出现是医学领域的一项重大成就。事实上,依库珠单抗已经改变了阵发性夜间血红蛋白尿和非典型溶血性尿毒症综合征的治疗模式,并有望在其他几种人类补体介导的疾病中发挥同样的作用。如今,十年的经验也让我们认识到,存在一些陷阱,对改进当前的抗补体治疗构成挑战。这些观察结果大多来自阵发性夜间血红蛋白尿,该疾病中尚未满足的临床需求不断出现,引发了众多研究人员和制药公司的关注。

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1
Current and future pharmacologic complement inhibitors.当前及未来的药理学补体抑制剂。
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2
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Small-molecule factor D inhibitors selectively block the alternative pathway of complement in paroxysmal nocturnal hemoglobinuria and atypical hemolytic uremic syndrome.小分子因子 D 抑制剂可选择性阻断阵发性夜间血红蛋白尿和非典型溶血尿毒症综合征中补体的替代途径。
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The complement alternative pathway in paroxysmal nocturnal hemoglobinuria: From a pathogenic mechanism to a therapeutic target.阵发性睡眠性血红蛋白尿症中的补体替代途径:从发病机制到治疗靶点。
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Proteomic analysis of intermediate uveitis suggests myeloid cell recruitment and implicates IL-23 as a therapeutic target.中间葡萄膜炎的蛋白质组学分析提示髓样细胞募集,并表明白细胞介素-23是一个治疗靶点。
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3
Anti-complement Treatment for Paroxysmal Nocturnal Hemoglobinuria: Time for Proximal Complement Inhibition? A Position Paper From the SAAWP of the EBMT.
抗补体治疗阵发性睡眠性血红蛋白尿症:是否需要近端补体抑制?来自 EBMT 的 SAAWP 的立场文件。
Front Immunol. 2019 Jun 14;10:1157. doi: 10.3389/fimmu.2019.01157. eCollection 2019.
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J Blood Med. 2019 Apr 9;10:93-103. doi: 10.2147/JBM.S177621. eCollection 2019.
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Complement-Activating Capacity of Autoantibodies Correlates With Disease Activity in Bullous Pemphigoid Patients.自身抗体的补体激活能力与大疱性类天疱疮患者的疾病活动度相关。
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