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冠状动脉粥样硬化性心脏病的抗炎治疗:现有成功背后的未解之谜

Anti-inflammatory Therapy for Coronary Atherosclerotic Heart Disease: Unanswered Questions Behind Existing Successes.

作者信息

Ma Jun, Chen Xiaoping

机构信息

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.

Department of Cardiology, The General Hospital of Western Theater Command, Chengdu, China.

出版信息

Front Cardiovasc Med. 2021 Feb 1;7:631398. doi: 10.3389/fcvm.2020.631398. eCollection 2020.

Abstract

Coronary atherosclerotic heart disease is a serious threat to human health. The results of the Canakinumab Anti-Inflammatory Thrombosis Outcome Study published in 2017 put an end to the perennial debate about the anti-inflammatory treatment of coronary atherosclerotic heart disease. In addition to interleukin 1β monoclonal antibody, interleukin 6 receptor antagonists and colchicine have also shown exciting results in clinical trials within the last 3 years. However, behind these successes, questions remain that need to be addressed. In this review, we summarize the successes and existing doubts of interleukin 1β antibodies, interleukin 6 receptor antagonists, and colchicine in the anti-inflammatory treatment of coronary atherosclerotic heart disease.

摘要

冠状动脉粥样硬化性心脏病是对人类健康的严重威胁。2017年发表的卡那单抗抗炎血栓形成结果研究的结果结束了关于冠状动脉粥样硬化性心脏病抗炎治疗的长期争论。除白细胞介素1β单克隆抗体外,白细胞介素6受体拮抗剂和秋水仙碱在过去3年的临床试验中也显示出令人振奋的结果。然而,在这些成功背后,仍有一些问题需要解决。在这篇综述中,我们总结了白细胞介素1β抗体、白细胞介素6受体拮抗剂和秋水仙碱在冠状动脉粥样硬化性心脏病抗炎治疗中的成功之处和现存疑问。

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