Frieder Jillian, Kivelevitch Dario, Haugh Isabel, Watson Ian, Menter Alan
Baylor Scott and White, Division of Dermatology, Dallas, Texas, USA.
Texas A&M College of Medicine, Bryan, Texas, USA.
Clin Pharmacol Ther. 2018 Jan;103(1):88-101. doi: 10.1002/cpt.893. Epub 2017 Oct 19.
Advancements in the immunopathogenesis of psoriasis have identified interleukin (IL)-23 and IL-17 as fundamental contributors in the immune pathways of the disease. Leveraging these promising therapeutic targets has led to the emergence of a number of anti-IL-23 and -17 biologic agents with the potential to treat multiple conditions with common underlying pathology. The unprecedented clinical efficacy of these agents in the treatment of psoriasis has paved way for their evaluation in diseases such as psoriatic arthritis, Crohn's disease, rheumatoid arthritis, in addition to other immune-mediated conditions. Here we review the IL-23/IL-17 immune pathways and discuss the key clinical and safety data of the anti-IL-23 and anti-IL-17 biologic agents in psoriasis and other immune-mediated diseases.
银屑病免疫发病机制的进展已确定白细胞介素(IL)-23和IL-17是该疾病免疫途径的主要促成因素。利用这些有前景的治疗靶点已催生出多种抗IL-23和抗IL-17生物制剂,它们有可能治疗多种具有共同潜在病理的疾病。这些药物在治疗银屑病方面前所未有的临床疗效为其在银屑病关节炎、克罗恩病、类风湿关节炎等疾病以及其他免疫介导疾病中的评估铺平了道路。在此,我们综述IL-23/IL-17免疫途径,并讨论抗IL-23和抗IL-17生物制剂在银屑病及其他免疫介导疾病中的关键临床和安全性数据。