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Dupilumab in the management of moderate-to-severe asthma: the data so far.

作者信息

Barranco Pilar, Phillips-Angles Elsa, Dominguez-Ortega Javier, Quirce Santiago

机构信息

Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), CIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain.

Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain.

出版信息

Ther Clin Risk Manag. 2017 Sep 1;13:1139-1149. doi: 10.2147/TCRM.S125964. eCollection 2017.


DOI:10.2147/TCRM.S125964
PMID:28979129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5589101/
Abstract

Severe asthma constitutes illness in a relatively small proportion of all patients with asthma, but it is a major public health problem - with considerable effect on morbidity, mortality, as well as a high burden on health care resources. Regardless of effective treatments being widely available and the existence of treatment guidelines, a large population of severe asthma cases remain uncontrolled. Achieving and maintaining asthma control in this group of patients is, therefore, of utmost importance. The recognition of distinct inflammatory phenotypes within this population has driven the development of targeted biological therapies - particularly, selective targeted monoclonal antibodies (mAbs). It is noteworthy that in approximately 50% of these patients, there is strong evidence of the pathogenic role of T helper type-2 (Th2) cytokines, such as interleukin (IL)-4 and IL-13, orchestrating the eosinophilic and allergic inflammatory processes. Among the recently developed antiasthma biologic drugs, the mAb dupilumab is very promising given its ability to inhibit the biological effects of both IL-4 and IL-13. In this review, we focused on IL-4 and IL-13, as these interleukins are considered to play a key role in the pathophysiology of asthma, and on dupilumab, an anti-IL-4 receptor human mAb, as a forthcoming treatment for uncontrolled severe asthma in the near future.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ea9/5589101/ec13d74eb35d/tcrm-13-1139Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ea9/5589101/f68f159c8b21/tcrm-13-1139Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ea9/5589101/ec13d74eb35d/tcrm-13-1139Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ea9/5589101/f68f159c8b21/tcrm-13-1139Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ea9/5589101/ec13d74eb35d/tcrm-13-1139Fig2.jpg

相似文献

[1]
Dupilumab in the management of moderate-to-severe asthma: the data so far.

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ACS Omega. 2023-7-5

[2]
Dupilumab efficacy and safety in patients with moderate to severe asthma: A systematic review and meta-analysis.

Front Pharmacol. 2022-10-3

[3]
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Aesthet Surg J. 2023-2-3

[4]
Case Report: Drug-Induced (Neuro) Sarcoidosis-Like Lesion Under IL4 Receptor Blockade With Dupilumab.

Front Neurol. 2022-6-20

[5]
COVID-19, Eosinophils, and Biologicals for Severe Asthma.

Front Allergy. 2022-4-28

[6]
Exacerbation of Eosinophilic Granulomatosis With Polyangiitis After Administering Dupilumab for Severe Asthma and Eosinophilic Rhinosinusitis With Nasal Polyposis.

Cureus. 2022-5-22

[7]
The emerging roles of eosinophils: Implications for the targeted treatment of eosinophilic-associated inflammatory conditions.

Curr Res Immunol. 2022-3-21

[8]
Anaplastic Large Cell Lymphoma: Molecular Pathogenesis and Treatment.

Cancers (Basel). 2022-3-24

[9]
Cytokine Signature and Involvement in Chronic Rhinosinusitis with Nasal Polyps.

Int J Mol Sci. 2021-12-30

[10]
Th2/Th1 Cytokine Imbalance Is Associated With Higher COVID-19 Risk Mortality.

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本文引用的文献

[1]
Biologics in the treatment of severe asthma.

Allergol Immunopathol (Madr). 2017-12

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Lancet Respir Med. 2016-9-5

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Lancet. 2016-4-27

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Dupilumab: a potential new treatment for severe asthma.

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JAMA. 2016-2-2

[8]
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Expert Rev Respir Med. 2016

[9]
Efficacy and safety of dupilumab in adults with moderate-to-severe atopic dermatitis inadequately controlled by topical treatments: a randomised, placebo-controlled, dose-ranging phase 2b trial.

Lancet. 2015-10-8

[10]
Clinical and inflammatory characteristics of the European U-BIOPRED adult severe asthma cohort.

Eur Respir J. 2015-9-10

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