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特应性皮炎的生物治疗

Biological Treatments in Atopic Dermatitis.

作者信息

Montes-Torres Andrea, Llamas-Velasco Mar, Pérez-Plaza Alejandra, Solano-López Guillermo, Sánchez-Pérez Javier

机构信息

Department of Dermatology, Hospital Universitario de La Princesa, Diego de León 62, Madrid 28006, Spain.

出版信息

J Clin Med. 2015 Apr 3;4(4):593-613. doi: 10.3390/jcm4040593.

DOI:10.3390/jcm4040593
PMID:26239349
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4470158/
Abstract

Atopic dermatitis (AD) is one of the most common chronic inflammatory skin diseases that affect both children and adults with a prevalence of 30% and 10%, respectively. Even though most of patients respond satisfactory to topical anti-inflammatory drugs, about 10% require one or more systemic treatments to achieve good control of their illness. The progressive and increasingly detailed knowledge in the immunopathogenesis of AD has allowed research on new therapeutic targets with very promising results in the field of biological therapy. In this article, we will review the different biological treatments with a focus on novel drugs. Their mechanism of action, current status and results from clinical trials and observational studies will be specified.

摘要

特应性皮炎(AD)是最常见的慢性炎症性皮肤病之一,影响儿童和成人,患病率分别为30%和10%。尽管大多数患者对局部抗炎药物反应良好,但约10%的患者需要一种或多种全身治疗才能有效控制病情。对AD免疫发病机制的认识不断深入和细化,使得在生物治疗领域对新治疗靶点的研究取得了非常有前景的成果。在本文中,我们将回顾不同的生物治疗方法,重点关注新型药物。将详细说明它们的作用机制、现状以及临床试验和观察性研究的结果。

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本文引用的文献

1
Therapeutic strategies in extrinsic atopic dermatitis: focus on inhibition of IL-4 as a new pharmacological approach.外源性特应性皮炎的治疗策略:聚焦于抑制白细胞介素-4作为一种新的药理学方法。
Expert Opin Ther Targets. 2015 Jan;19(1):87-96. doi: 10.1517/14728222.2014.965682. Epub 2014 Oct 4.
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Profile of skin barrier proteins (filaggrin, claudins 1 and 4) and Th1/Th2/Th17 cytokines in adults with atopic dermatitis.特应性皮炎成人的皮肤屏障蛋白(丝聚合蛋白、Claudin1 和 Claudin4)和 Th1/Th2/Th17 细胞因子特征。
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Dupilumab: a novel treatment for asthma.度普利尤单抗:一种哮喘的新型治疗药物。
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Novel investigational therapies for atopic dermatitis.特应性皮炎的新型研究性疗法。
Expert Opin Investig Drugs. 2015 Jan;24(1):61-68. doi: 10.1517/13543784.2015.957756. Epub 2014 Sep 9.
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Pharmacokinetics, pharmacodynamics and safety of QGE031 (ligelizumab), a novel high-affinity anti-IgE antibody, in atopic subjects.新型高亲和力抗IgE抗体QGE031(利吉珠单抗)在特应性受试者中的药代动力学、药效学及安全性
Clin Exp Allergy. 2014 Nov;44(11):1371-85. doi: 10.1111/cea.12400.
6
ΔNp63 controls a TLR3-mediated mechanism that abundantly provides thymic stromal lymphopoietin in atopic dermatitis.ΔNp63控制一种由TLR3介导的机制,该机制在特应性皮炎中大量产生胸腺基质淋巴细胞生成素。
PLoS One. 2014 Aug 29;9(8):e105498. doi: 10.1371/journal.pone.0105498. eCollection 2014.
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Curr Opin Allergy Clin Immunol. 2014 Oct;14(5):409-16. doi: 10.1097/ACI.0000000000000096.
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A possible role for IL-17A in establishing Th2 inflammation in murine models of atopic dermatitis.白细胞介素-17A在特应性皮炎小鼠模型中建立Th2炎症方面的可能作用。
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