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特应性皮炎的单克隆抗体:进展与潜力。

Monoclonal Antibodies for Atopic Dermatitis: Progress and Potential.

机构信息

Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.

Departments of Dermatology, Preventive Medicine and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.

出版信息

BioDrugs. 2017 Oct;31(5):409-422. doi: 10.1007/s40259-017-0241-6.

Abstract

Atopic dermatitis (AD) is a complex and heterogeneous inflammatory skin disorder with a profound symptom and lesional burden. Moderate-to-severe AD is particularly challenging to manage, as topical treatments are often inadequate and the systemic immunosuppressants are limited by concerns of toxicity and tolerability. Recent AD research has elucidated the mechanisms and immunologic factors involved in AD pathogenesis. These breakthroughs have led to the development of multiple therapeutic monoclonal antibodies that are directed against specific immunologic targets. This review provides an overview on the pathogenesis of AD as well as the rationale for the targets of various monoclonal antibodies. Additionally, this review explores the efficacy and safety of use for various monoclonal antibodies in the management of AD, as well as the potential role of these agents in the treatment of AD.

摘要

特应性皮炎(AD)是一种复杂且异质性的炎症性皮肤疾病,具有严重的症状和皮损负担。中重度 AD 尤其难以治疗,因为局部治疗往往效果不佳,而系统免疫抑制剂则因毒性和耐受性问题而受到限制。最近的 AD 研究阐明了 AD 发病机制中的机制和免疫因素。这些突破导致了多种针对特定免疫靶点的治疗性单克隆抗体的开发。本综述概述了 AD 的发病机制以及针对各种单克隆抗体的靶点的原理。此外,本综述还探讨了各种单克隆抗体在 AD 治疗中的疗效和安全性,以及这些药物在 AD 治疗中的潜在作用。

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