Abidi Afroz, Shukla Pooja, Ahmad Ali
Department of Pharmacology, Era's Lucknow Medical College, Lucknow, Uttar Pradesh, India.
J Pharmacol Pharmacother. 2016 Oct-Dec;7(4):194-198. doi: 10.4103/0976-500X.195920.
Dry eye disease (DED) is an inflammatory disorder of ocular surfaces leading to severe disability, especially in the elderly age group. The mainstay of therapy includes artificial tears, punctual plugs, topical anti-inflammatory agents, and corticosteroids. In the past few years, only cyclosporine-A emulsions have been added to the existing therapy, but it is discontinued by most patients as it causes burning sensation in the eye. Hence, progress in new research for a better therapeutic option led to the discovery of lymphocyte function-associated antigen intercellular adhesion molecule 1 antagonist, lifitegrast. It hinders the T-cell activation, release of inflammatory mediators, and consequently inhibits the inflammatory pathways in DED. It was approved by the US Food and Drug Administration in July 2016 for the treatment of DED. This review highlights the development process and approval of lifitegrast.
干眼症(DED)是一种眼表炎性疾病,会导致严重的功能障碍,在老年人群体中尤为如此。治疗的主要手段包括人工泪液、泪点塞、局部抗炎药和皮质类固醇。在过去几年里,现有治疗方案中仅增加了环孢素A乳剂,但大多数患者因它会引起眼部烧灼感而停用。因此,为寻求更好治疗方案的新研究取得进展,促使人们发现了淋巴细胞功能相关抗原细胞间黏附分子1拮抗剂——lifitegrast。它可阻碍T细胞活化、炎性介质释放,从而抑制干眼症中的炎症途径。2016年7月,它获美国食品药品监督管理局批准用于治疗干眼症。本综述重点介绍了lifitegrast的研发过程及获批情况。