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白细胞介素 17 及其拮抗药在自身免疫性和炎症性疾病的免疫发病机制及治疗中的作用。

The role of IL-17 and anti-IL-17 agents in the immunopathogenesis and management of autoimmune and inflammatory diseases.

机构信息

Centre de Recherches Médicales (CERMEL) de Lambaréné, B.P: 242, Gabon; Technical University of Munich, 80333, Germany.

Laboratory of Biology and Molecular Typing in Microbiology. Faculty of Sciences and Techniques/University of Abomey-Calavi, Cotonou 05 BP 1604, Benin.

出版信息

Int Immunopharmacol. 2022 Jan;102:108402. doi: 10.1016/j.intimp.2021.108402. Epub 2021 Dec 1.

Abstract

Interleukin-17 (IL-17) is a proinflammatory cytokine involved in chronic inflammation occurring during the pathogenesis of allergy, malignancy, and autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, multiple sclerosis, and psoriasis. IL-17 is produced by multiple cell types of adaptive and innate immunity, including T helper 17 cells, CD8 + T cells, γδ T cells, natural killer T cells, and innate lymphoid cells. Monoclonal antibodies (mAbs) targeting IL-17 and/or IL-17R would be a potential approach to study this therapeutic tool for these diseases. In the current review, we aimed to highlight the characteristics of IL-17 and its important role in the pathogenesis of related diseases. Critical evaluation of the mAbs targeting IL-17A and IL-17 receptors (e.g., Ixekizumab, Secukinumab, and Brodalumab) in various immune-mediated diseases will be provided, and finally, their clinical efficacy and safety will be reported.

摘要

白细胞介素-17 (IL-17) 是一种促炎细胞因子,参与过敏、恶性肿瘤和自身免疫性疾病(如类风湿关节炎、系统性红斑狼疮、多发性硬化症和银屑病)发病过程中的慢性炎症。IL-17 由适应性和固有免疫的多种细胞类型产生,包括辅助性 17 细胞、CD8+T 细胞、γδ T 细胞、自然杀伤 T 细胞和固有淋巴细胞。针对 IL-17 和/或 IL-17R 的单克隆抗体 (mAb) 将是研究这些疾病治疗工具的潜在方法。在本综述中,我们旨在强调 IL-17 的特征及其在相关疾病发病机制中的重要作用。将对针对 IL-17A 和 IL-17 受体的 mAb(如依奇珠单抗、司库奇尤单抗和布罗达单抗)在各种免疫介导的疾病中的作用进行批判性评估,并报告其临床疗效和安全性。

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