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神经精神性系统性红斑狼疮:从动物模型到人类

Neuropsychiatric SLE: from animal model to human.

作者信息

Pikman R, Kivity S, Levy Y, Arango M-T, Chapman J, Yonath H, Shoenfeld Y, Gofrit S G

机构信息

1 Israel Defense Forces Medical Corps, Ramat Gan, Israel.

2 Department of Medicine A, Sheba Medical Center, Tel-Hashomer, Israel.

出版信息

Lupus. 2017 Apr;26(5):470-477. doi: 10.1177/0961203317694261.

Abstract

Animal models are a key element in disease research and treatment. In the field of neuropsychiatric lupus research, inbred, transgenic and disease-induced mice provide an opportunity to study the pathogenic routes of this multifactorial illness. In addition to achieving a better understanding of the immune mechanisms underlying the disease onset, supplementary metabolic and endocrine influences have been discovered and investigated. The ever-expanding knowledge about the pathologic events that occur at disease inception enables us to explore new drugs and therapeutic approaches further and to test them using the same animal models. Discovery of the molecular targets that constitute the pathogenic basis of the disease along with scientific advancements allow us to target these molecules with monoclonal antibodies and other specific approaches directly. This novel therapy, termed "targeted biological medication" is a promising endeavor towards producing drugs that are more effective and less toxic. Further work to discover additional molecular targets in lupus' pathogenic mechanism and to produce drugs that neutralize their activity is needed to provide patients with safe and efficient methods of controlling and treating the disease.

摘要

动物模型是疾病研究与治疗的关键要素。在神经精神性狼疮研究领域,近交系、转基因和疾病诱导小鼠为研究这种多因素疾病的致病途径提供了契机。除了能更好地理解疾病发病的免疫机制外,还发现并研究了补充性的代谢和内分泌影响因素。对疾病起始时发生的病理事件的认识不断扩展,使我们能够进一步探索新药和治疗方法,并使用相同的动物模型对其进行测试。构成疾病致病基础的分子靶点的发现以及科学进步,使我们能够直接用单克隆抗体和其他特定方法靶向这些分子。这种被称为“靶向生物药物”的新型疗法是开发更有效、毒性更小药物的一项有前景的努力。需要进一步开展工作,以发现狼疮致病机制中的其他分子靶点,并生产中和其活性的药物,从而为患者提供安全有效的疾病控制和治疗方法。

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