Jagannath Soumya, Garg Pramod Kumar
Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Dig Dis Sci. 2017 Jul;62(7):1751-1761. doi: 10.1007/s10620-017-4604-0. Epub 2017 May 27.
Chronic pancreatitis (CP) is a progressive inflammatory disease of the pancreas. The currently available treatment of CP is aimed at controlling symptoms and managing complications. Unfortunately, no specific treatment is available to halt the progression of the disease process because the pathophysiological perturbations in CP are not well understood. In this review, we discuss various therapeutic targets and investigational agents acting on these targets. Among these, therapies modulating immune cells and those acting on pancreatic stellate cells appear promising and may translate into clinical benefit in near future. However, these experimental therapies are mostly in animal models and they do not recapitulate all aspects of human disease. Still they may be beneficial in developing effective therapeutic modalities to curb inflammation in chronic pancreatitis.
慢性胰腺炎(CP)是一种胰腺的进行性炎症性疾病。目前针对CP的治疗旨在控制症状和处理并发症。不幸的是,由于对CP的病理生理紊乱了解不足,尚无特异性治疗方法来阻止疾病进程。在本综述中,我们讨论了各种治疗靶点以及作用于这些靶点的研究性药物。其中,调节免疫细胞的疗法和作用于胰腺星状细胞的疗法看起来很有前景,可能在不久的将来转化为临床益处。然而,这些实验性疗法大多处于动物模型阶段,并未概括人类疾病的所有方面。尽管如此,它们可能有助于开发有效的治疗方式以抑制慢性胰腺炎中的炎症。