Xu Zhiqing, Chu Ming
Department of Immunology, National Health Commission (NHC) Key Laboratory of Medical Immunology (Peking University), School of Basic Medical Sciences, Peking University, Beijing, China.
Department of Pharmacology, Jilin University, Changchun, China.
Front Pharmacol. 2022 May 26;13:917162. doi: 10.3389/fphar.2022.917162. eCollection 2022.
Immune abnormality involves in various diseases, such as infection, allergic diseases, autoimmune diseases, as well as transplantation. Several signal pathways have been demonstrated to play a central role in the immune response, including JAK/STAT, NF-κB, PI3K/AKT-mTOR, MAPK, and Keap1/Nrf2/ARE pathway, in which multiple targets have been used to develop immunosuppressive agents. In recent years, varieties of immunosuppressive agents have been approved for clinical use, such as the JAK inhibitor tofacitinib and the mTOR inhibitor everolimus, which have shown good therapeutic effects. Additionally, many immunosuppressive agents are still in clinical trials or preclinical studies. In this review, we classified the immunosuppressive agents according to the immunopharmacological mechanisms, and summarized the phase of immunosuppressive agents.
免疫异常涉及多种疾病,如感染、过敏性疾病、自身免疫性疾病以及移植。已证明几种信号通路在免疫反应中起核心作用,包括JAK/STAT、NF-κB、PI3K/AKT-mTOR、MAPK和Keap1/Nrf2/ARE通路,其中多个靶点已被用于开发免疫抑制剂。近年来,多种免疫抑制剂已被批准用于临床,如JAK抑制剂托法替布和mTOR抑制剂依维莫司,它们已显示出良好的治疗效果。此外,许多免疫抑制剂仍处于临床试验或临床前研究阶段。在本综述中,我们根据免疫药理机制对免疫抑制剂进行了分类,并总结了免疫抑制剂的阶段。