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生物制剂治疗类风湿关节炎——作为一种典型且常见的免疫介导的炎症性疾病。

Treatment of rheumatoid arthritis with biological agents - as a typical and common immune-mediated inflammatory disease.

机构信息

Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine.

出版信息

Proc Jpn Acad Ser B Phys Biol Sci. 2017;93(8):600-608. doi: 10.2183/pjab.93.038.

DOI:10.2183/pjab.93.038
PMID:29021510
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5743860/
Abstract

Molecules involved in the disease process facilitated our understanding of pathogenesis of the disease with unknown etiology such as immune-mediated and inflammatory diseases. Moreover, the targeted therapies against the proposed molecular targets by biological agents provide enormous benefits to the patients and societies. Here, I will review recent progress of the biological treatment in the immune-inflammatory diseases by focusing on the rheumatoid arthritis, the disease characterized by persistent polyarthritis leading to joint destruction and disability with autoimmune features, as a role model.

摘要

参与疾病过程的分子使我们能够理解病因不明的疾病的发病机制,如免疫介导和炎症性疾病。此外,生物制剂针对提出的分子靶点的靶向治疗为患者和社会带来了巨大的益处。在这里,我将以类风湿关节炎为模型,重点介绍具有自身免疫特征的持续性多关节炎导致关节破坏和残疾的疾病,综述免疫炎症性疾病的生物治疗的最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655d/5743860/d7278fe60133/pjab-93-600-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655d/5743860/c35347026db7/pjab-93-600-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655d/5743860/ff11f6191f47/pjab-93-600-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655d/5743860/7e56cd1499eb/pjab-93-600-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655d/5743860/e2f254b38127/pjab-93-600-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655d/5743860/d7278fe60133/pjab-93-600-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655d/5743860/c35347026db7/pjab-93-600-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655d/5743860/ff11f6191f47/pjab-93-600-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655d/5743860/7e56cd1499eb/pjab-93-600-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655d/5743860/e2f254b38127/pjab-93-600-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655d/5743860/d7278fe60133/pjab-93-600-g005.jpg

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Ann Rheum Dis. 2017 Jun;76(6):960-977. doi: 10.1136/annrheumdis-2016-210715. Epub 2017 Mar 6.
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Early rheumatoid arthritis treated with tocilizumab, methotrexate, or their combination (U-Act-Early): a multicentre, randomised, double-blind, double-dummy, strategy trial.
泰利昔单抗(一种注射用重组人 B 淋巴细胞刺激因子受体抗体融合蛋白)在中国健康受试者中的药代动力学特征、安全性和耐受性。
Clin Pharmacol Drug Dev. 2022 Nov;11(11):1273-1283. doi: 10.1002/cpdd.1136. Epub 2022 Jul 17.
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ASP5094, a humanized monoclonal antibody against integrin alpha-9, did not show efficacy in patients with rheumatoid arthritis refractory to methotrexate: results from a phase 2a, randomized, double-blind, placebo-controlled trial.ASP5094,一种针对整合素 α-9 的人源化单克隆抗体,在对甲氨蝶呤耐药的类风湿关节炎患者中未显示疗效:来自 2a 期、随机、双盲、安慰剂对照试验的结果。
Arthritis Res Ther. 2020 Oct 21;22(1):252. doi: 10.1186/s13075-020-02336-3.
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