Military Specialist Clinic, Allergy Clinic, ul. Dąbrowskiego 1, 87-100 Toruń, Poland.
Department of Dermatology, Venereology and Allergology Medical University of Gdansk, ul. Kliniczna 1a, 80-401 Gdańsk, Poland.
Int J Mol Sci. 2018 Oct 9;19(10):3086. doi: 10.3390/ijms19103086.
Atopic dermatitis (AD) is a recurrent, chronic, and inflammatory skin disease, which processes with severe itchiness. It often coexists with different atopic diseases. The number of people suffering from AD is relatively high. Epidemiological research demonstrates that 15⁻30% of children and 2⁻10% adults suffer from AD. The disease has significant negative social and economic impacts, substantially decreasing the quality of life of the patients and their families. Thanks to enormous progress in science and technology, it becomes possible to recognise complex genetic, immunological, and environmental factors and epidermal barrier defects that play a role in the pathogenesis of AD. We hope that the new insight on cytokines in AD will lead to new, individualised therapy and will open different therapeutic possibilities. In this article, we will focus on the cytokines, interleukin (IL)-17, IL-19, IL-33, and TSLP (thymic stromal lymphopoietin), which play a significant role in AD pathogenesis and may become the targets for future biologic therapies in AD. It is believed that the new era of biological drugs in AD will give a chance for patients to receive more successful treatment.
特应性皮炎(AD)是一种反复发作、慢性和炎症性皮肤病,其特征为剧烈瘙痒。它常与不同的特应性疾病共存。患 AD 的人数相对较高。流行病学研究表明,15%-30%的儿童和 2%-10%的成年人患有 AD。该疾病对社会和经济有重大负面影响,极大地降低了患者及其家庭的生活质量。得益于科学技术的巨大进步,人们有可能认识到在 AD 发病机制中起作用的复杂遗传、免疫和环境因素以及表皮屏障缺陷。我们希望 AD 中细胞因子的新见解将导致新的个体化治疗,并开辟不同的治疗可能性。在本文中,我们将重点介绍细胞因子白细胞介素(IL)-17、IL-19、IL-33 和 TSLP(胸腺基质淋巴细胞生成素),它们在 AD 发病机制中起重要作用,并且可能成为 AD 未来生物治疗的靶点。人们相信 AD 中的生物药物新时代将为患者提供接受更成功治疗的机会。
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