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干燥综合征的生物治疗。

Biologic therapy in Sjögren's syndrome.

机构信息

Department of Rheumatology, Chongqing City Hospital of Traditional Chinese Medicine, No.6, Pan Xi Qi Zhi Road, Jiang Bei District, Chongqing, 400021, China.

出版信息

Clin Rheumatol. 2021 Jun;40(6):2143-2154. doi: 10.1007/s10067-020-05429-1. Epub 2020 Oct 27.

Abstract

Sjögren's syndrome (SS) is a chronic autoimmune disease with complex and diverse clinical manifestations. It is characterized by lymphocyte infiltration of exocrine glands such as the salivary gland and lacrimal gland leading to insufficient secretion of the gland, manifested as dry mouth and dry eyes. In addition, it can involve extraglandular organs and cause systemic damage. The pathogenesis of SS is still unclear. At present, symptomatic treatment is the mainstay and there is a lack of effective therapy. With the development of molecular pathways underlying the pathogenesis of SS, more and more novel biological agents are used to treat SS. We summarized and analyzed the existing evidences on the efficacy of biological treatment of SS and their targets. Analysis of the efficacy of biological therapy and improvement of treatment strategies can help to give full play to its therapeutic advantages.

摘要

干燥综合征(SS)是一种慢性自身免疫性疾病,具有复杂多样的临床表现。其特征是外分泌腺(如唾液腺和泪腺)中的淋巴细胞浸润导致腺体分泌不足,表现为口干和眼干。此外,它还可能涉及外分泌腺器官并导致全身损害。SS 的发病机制尚不清楚。目前,对症治疗仍是主要治疗方法,缺乏有效的治疗方法。随着 SS 发病机制中分子途径的发展,越来越多的新型生物制剂被用于治疗 SS。我们总结和分析了 SS 生物治疗的疗效及其靶点的现有证据。分析生物治疗的疗效和改进治疗策略有助于充分发挥其治疗优势。

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