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儿童过敏性皮肤病中生物药物的免疫靶点

Immunological Targets of Biologic Drugs in Allergic Skin Diseases in Children.

作者信息

Di Filippo Paola, Russo Daniele, Attanasi Marina, Di Pillo Sabrina, Chiarelli Francesco

机构信息

Department of Pediatrics, University of Chieti, 66100 Chieti, Italy.

Center of Excellence on Aging, University of Chieti, 66100 Chieti, Italy.

出版信息

Biomedicines. 2021 Nov 4;9(11):1615. doi: 10.3390/biomedicines9111615.

DOI:10.3390/biomedicines9111615
PMID:34829844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8616006/
Abstract

Atopic dermatitis and urticaria are two invalidating skin disorders that are very common in children. Recent advances in the understanding of their specific intracellular molecular pathways have permitted the development of precise biological molecules, targeting inflammatory mediators and arresting the pathogenetic pathways of skin diseases. Many biologics with promising results have been studied, although few are currently approved in children. In this review, we aim to provide the latest evidence about the use, indications, efficacy and safety of biologic therapies to treat atopic dermatitis and chronic urticaria in children and adolescents.

摘要

特应性皮炎和荨麻疹是两种常见于儿童的使人虚弱的皮肤疾病。对其特定细胞内分子途径认识的最新进展使得能够开发出精确的生物分子,这些分子靶向炎症介质并阻断皮肤疾病的发病途径。已经研究了许多有前景的生物制剂,尽管目前在儿童中获批的很少。在本综述中,我们旨在提供关于生物治疗用于治疗儿童和青少年特应性皮炎和慢性荨麻疹的使用、适应症、疗效和安全性的最新证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b505/8616006/e36d44df3a5f/biomedicines-09-01615-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b505/8616006/ef16a5fdb9b3/biomedicines-09-01615-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b505/8616006/e36d44df3a5f/biomedicines-09-01615-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b505/8616006/ef16a5fdb9b3/biomedicines-09-01615-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b505/8616006/e36d44df3a5f/biomedicines-09-01615-g002.jpg

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本文引用的文献

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Biologic Therapy and Severe Asthma in Children.儿童生物疗法与重度哮喘
Biomedicines. 2021 Jun 30;9(7):760. doi: 10.3390/biomedicines9070760.
2
A mathematical model to identify optimal combinations of drug targets for dupilumab poor responders in atopic dermatitis.用于鉴定特应性皮炎中对度普利尤单抗无应答者的药物靶标最佳组合的数学模型。
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Basophils add fuel to the flame of eczema itch.嗜碱性粒细胞为湿疹瘙痒火上浇油。
Maintenance Therapy for Children and Adolescents with Asthma: Guidelines and Recommendations from the Emilia-Romagna Asthma (ERA) Study Group.
儿童和青少年哮喘的维持治疗:来自艾米利亚 - 罗马涅哮喘(ERA)研究组的指南与建议
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New Indications of Biological Drugs in Allergic and Immunological Disorders: Beyond Asthma, Urticaria, and Atopic Dermatitis.生物药物在过敏性和免疫性疾病中的新适应症:超越哮喘、荨麻疹和特应性皮炎。
Biomedicines. 2023 Jan 17;11(2):236. doi: 10.3390/biomedicines11020236.
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Impact of gut microbiome on skin health: gut-skin axis observed through the lenses of therapeutics and skin diseases.肠道微生物组对皮肤健康的影响:通过治疗学和皮肤病学的视角观察肠道-皮肤轴。
Gut Microbes. 2022 Jan-Dec;14(1):2096995. doi: 10.1080/19490976.2022.2096995.
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The Challenge Arising from New Knowledge about Immune and Inflammatory Skin Diseases: Where We Are Today and Where We Are Going.免疫和炎症性皮肤病新知识带来的挑战:我们的现状与未来走向
Biomedicines. 2022 Apr 20;10(5):950. doi: 10.3390/biomedicines10050950.
Cell. 2021 Jan 21;184(2):294-296. doi: 10.1016/j.cell.2020.12.035.
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A basophil-neuronal axis promotes itch.嗜碱性粒细胞-神经元轴促进瘙痒。
Cell. 2021 Jan 21;184(2):422-440.e17. doi: 10.1016/j.cell.2020.12.033. Epub 2021 Jan 14.
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Dupilumab reduces inflammation and restores the skin barrier in patients with atopic dermatitis.度普利尤单抗可减轻特应性皮炎患者的炎症并恢复皮肤屏障功能。
Allergy. 2021 Apr;76(4):1268-1270. doi: 10.1111/all.14664. Epub 2020 Dec 16.
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New emergent therapies for atopic dermatitis: A review of safety profile with respect to female fertility, pregnancy, and breastfeeding.特应性皮炎的新出现疗法:对女性生育力、妊娠和哺乳安全性的综述。
Dermatol Ther. 2021 Jan;34(1):e14475. doi: 10.1111/dth.14475. Epub 2020 Nov 5.
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Tralokinumab for moderate-to-severe atopic dermatitis: results from two 52-week, randomized, double-blind, multicentre, placebo-controlled phase III trials (ECZTRA 1 and ECZTRA 2).特利鲁单抗治疗中重度特应性皮炎的两项 52 周、随机、双盲、多中心、安慰剂对照 III 期临床试验(ECZTRA1 和 ECZTRA2)结果。
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Dupilumab provides favourable long-term safety and efficacy in children aged ≥ 6 to < 12 years with uncontrolled severe atopic dermatitis: results from an open-label phase IIa study and subsequent phase III open-label extension study.度普利尤单抗在 6 岁至<12 岁未得到控制的重度特应性皮炎儿童中提供了良好的长期安全性和疗效:来自开放标签 IIa 期研究和随后的 III 期开放标签扩展研究的结果。
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