Sekhon Sahil, Jeon Caleb, Nakamura Mio, Yan Di, Afifi Ladan, Bhutani Tina, Levin Ethan
Department of Dermatology, University of California, San Francisco, San Francisco, CA, USA.
Psoriasis (Auckl). 2017 Nov 16;7:65-72. doi: 10.2147/PTT.S129792. eCollection 2017.
Psoriasis vulgaris is a chronic, immune-mediated systemic disease that affectŝ7.5 million people in the US. It can be treated with many therapies, often in combination, which include topicals, phototherapy, oral systemics, and biologics. Biologic agents target specific components of the immune system involved in the pathogenesis of psoriasis including TNF-alpha, IL-12, IL-17, and IL-23. The biologic ixekizumab, approved for the treatment of moderate-severe plaque psoriasis in the US, targets IL-17. This review describes the role of IL-17 in psoriasis, the mechanism by which ixekizumab targets this cytokine, and the clinical utility of ixekizumab.
寻常型银屑病是一种慢性、免疫介导的全身性疾病,在美国影响着750万人。它可以通过多种疗法进行治疗,通常是联合使用,这些疗法包括局部用药、光疗、口服全身用药和生物制剂。生物制剂靶向参与银屑病发病机制的免疫系统特定成分,包括肿瘤坏死因子-α、白细胞介素-12、白细胞介素-17和白细胞介素-23。在美国被批准用于治疗中度至重度斑块状银屑病的生物制剂ixekizumab靶向白细胞介素-17。本综述描述了白细胞介素-17在银屑病中的作用、ixekizumab靶向这种细胞因子的机制以及ixekizumab的临床应用。