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探索度普利尤单抗在哮喘管理中的疗效和作用。

Exploring the efficacy and contribution of Dupilumab in asthma management.

作者信息

Alsaffar Rana M, Alkholifi Faisal K

机构信息

Department of Pharmacology & Toxicology, College of Pharmacy, Prince Sattam Bin Abdulaziz University, P.O. Box 173, Al-Kharj 11942, Saudi Arabia.

Department of Pharmacology & Toxicology, College of Pharmacy, Prince Sattam Bin Abdulaziz University, P.O. Box 173, Al-Kharj 11942, Saudi Arabia.

出版信息

Mol Immunol. 2022 Jun;146:9-17. doi: 10.1016/j.molimm.2022.03.119. Epub 2022 Apr 6.

Abstract

IgG4 monoclonal antibody Dupilumab binds to the alpha chain (IL4R) of both types of the ligand-binding domains (IL4R/ IL13R1; equally IL4 and IL13 specific) of the IL-4 receptor. The current focus on precision medicine techniques to blocking pathways implicated in allergy disorders is crucial to the development of Dupilumab and broadening its therapeutic uses. Our review describes how the IL-4R complexes signaling pathway works, explores the probable mechanisms of Dupilumab activity and addresses its clinical usefulness and safety in asthma. The FDA (Food and Drug Administration) already licences it to treat Alzheimer's disease and moderate-to-severe asthma, and it has shown highly significant results in the management of chronic rhinosinusitis and Eosinophilic esophagitis (EoE). Previous investigations and clinical trials undertaken by various pharmaceutical firms are examined in this review article to assess the existing literature fully. The discovery of Dupilumab and the expanding range of therapeutic uses are pertinent to the current focus on precision medicine methods to blocking asthma-related pathways.

摘要

IgG4单克隆抗体度普利尤单抗可与白细胞介素-4受体两种类型的配体结合域(白细胞介素-4受体/白细胞介素-13受体α1;对白细胞介素-4和白细胞介素-13均具有特异性)的α链(白细胞介素-4受体)结合。目前专注于通过精准医学技术阻断与过敏性疾病相关的信号通路,这对度普利尤单抗的研发及其治疗用途的拓展至关重要。我们的综述阐述了白细胞介素-4受体复合物信号通路的工作方式,探讨了度普利尤单抗发挥作用的可能机制,并阐述了其在哮喘治疗中的临床效用及安全性。美国食品药品监督管理局(FDA)已批准其用于治疗阿尔茨海默病和中重度哮喘,并且它在慢性鼻-鼻窦炎和嗜酸性食管炎(EoE)的治疗中已显示出极为显著的疗效。本文综述考察了各制药公司此前开展的研究及临床试验,以全面评估现有文献。度普利尤单抗的发现及其不断拓展的治疗用途与当前通过精准医学方法阻断哮喘相关信号通路的研究重点密切相关。

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