Chen Jin, Xie Mian, Li Lujun, Liu Dongxu, Liu Mengyuan
Center for Infection and Immunity Research, College of Life Sciences, Hubei University, Wuhan 430062, Hubei, China.
Hubei Collaborative Innovation Center for Green Transformation of Bioresources, Wuhan 430062, Hubei, China.
Sheng Wu Gong Cheng Xue Bao. 2019 Jun 25;35(6):1009-1020. doi: 10.13345/j.cjb.190022.
Inflammatory cytokines can mediate many biological processes and are tightly regulated by the body. Loss of control can trigger a range of diseases such as autoimmune inflammation and cancer. Therefore, a number of biological agents that can effectively regulate the biological effects of inflammatory cytokines such as recombinant anti-inflammatory cytokines, cytokine receptors and neutralizing antibodies have been extensively used in the treatment of related diseases caused by the imbalance of inflammatory cytokines. In recent years, in particular, a number of new innovative biological agents for blocking and regulating cytokine activities are emerging. In this article, we review the recent development and clinical use of the biologics targeting TNF-α, IL-1, IL-6 and IL-17, and point out their inherent limitations and clinical risks. Finally, based on the research findings of our own and other scholars, we suggest some approaches and methods for reducing their side-effects and clinical risk. We consider that using modern biotechnology to improve the tissue specificity to inflammatory site and tumor will be an important development direction of such biologics.
炎性细胞因子可介导多种生物学过程,并受到机体的严格调控。调控失控会引发一系列疾病,如自身免疫性炎症和癌症。因此,一些能够有效调节炎性细胞因子生物学效应的生物制剂,如重组抗炎细胞因子、细胞因子受体和中和抗体,已被广泛应用于治疗由炎性细胞因子失衡引起的相关疾病。近年来,尤其出现了一些用于阻断和调节细胞因子活性的新型创新生物制剂。在本文中,我们综述了靶向肿瘤坏死因子-α、白细胞介素-1、白细胞介素-6和白细胞介素-17的生物制剂的最新进展和临床应用,并指出其固有的局限性和临床风险。最后,基于我们自己和其他学者的研究结果,我们提出了一些降低其副作用和临床风险的方法和途径。我们认为,利用现代生物技术提高对炎症部位和肿瘤的组织特异性将是此类生物制剂的一个重要发展方向。