Department of Dermatology, The Second Xiangya Hospital of Central South University, Hunan Key Laboratory of Medical Epigenomics, 139 Middle Renmin Road, Changsha, Hunan 410011, China.
Department of Dermatology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.
Int Immunopharmacol. 2019 Jul;72:218-223. doi: 10.1016/j.intimp.2019.03.010. Epub 2019 Apr 16.
In recent years, the research on the pathogenesis of systemic lupus erythematosus (SLE) has been deepened, from the level of histopathology to the cellular and molecular biology, thus promoting the progress of SLE drug therapeutics. In March 2011, the United States Food and Drug Administration (FDA) approved the humanized monoclonal antibody, Belimumab for the treatment of SLE and put an end to the dilemma of no new drug available to SLE for more than half a century. On the other hand, the continuous evidence-based medical information has enabled rheumatologists to have a more comprehensive and depth understanding of the application of SLE traditional therapies, further improve the treatment strategy of SLE and put forward higher requirements for treatment goals. At the same time, advances in therapies have significantly improved survival rate of the patients, and the importance of long-term complications such as early-onset atherosclerosis and cardiovascular events has become increasingly apparent as a new challenge. In view of the hot issues of SLE clinical treatment, this paper introduces the research progress in recent years.
近年来,系统性红斑狼疮(SLE)发病机制的研究不断深入,从组织病理学水平深入到细胞和分子生物学水平,从而推动了 SLE 药物治疗学的进展。2011 年 3 月,美国食品药品监督管理局(FDA)批准人源化单克隆抗体贝利尤单抗用于治疗 SLE,结束了 SLE 半个多世纪以来无新药可用的困境。另一方面,不断涌现的循证医学信息使风湿病医生对 SLE 传统治疗方法的应用有了更全面、更深入的认识,进一步优化了 SLE 的治疗策略,并对治疗目标提出了更高的要求。同时,治疗方法的进步显著提高了患者的生存率,早期发生动脉粥样硬化和心血管事件等长期并发症的重要性日益凸显,成为新的挑战。针对 SLE 临床治疗的热点问题,本文介绍近年来的研究进展。