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靶向慢性过敏性结膜炎中嗜酸性粒细胞介导的炎症的新兴疗法。

Emerging therapies targeting eosinophil-mediated inflammation in chronic allergic conjunctivitis.

机构信息

University of Tennessee Health Sciences Center, Memphis, TN, USA.

University of Tennessee Health Sciences Center, Memphis, TN, USA; Now Affiliated with Weill Cornell Medical College, New York, New York, USA.

出版信息

Ocul Surf. 2022 Oct;26:191-196. doi: 10.1016/j.jtos.2022.08.004. Epub 2022 Aug 13.

Abstract

Ocular allergy remains a significant burden to the population while the treatment for the severe, chronic forms of allergic conjunctivitis remains largely limited to non-specific immunosuppressants. Eosinophils are central to the pathophysiology and sustaining the immunologic response found in the chronic forms of ocular allergy such as vernal keratoconjunctivitis and atopic keratoconjunctivitis. Several mediators of eosinophil recruitment, chemotaxis, adhesion, activation, and survival have been identified that offer potential therapeutic targets for ocular allergy. Based on preclinical and clinical data available in both ocular and non-ocular allergy studies, these emerging therapies warrant further investigation in reducing the severity of disease in patients with chronic ocular allergy.

摘要

眼过敏仍然是人群的一个重大负担,而严重的、慢性形式的过敏性结膜炎的治疗仍然主要局限于非特异性免疫抑制剂。嗜酸性粒细胞在变应性结膜炎和特应性角结膜炎等慢性形式的眼过敏的病理生理学和维持免疫反应中起着核心作用。已经确定了几种嗜酸性粒细胞募集、趋化、黏附、激活和存活的介质,这些介质为眼过敏提供了潜在的治疗靶点。基于在眼和非眼过敏研究中都有的临床前和临床数据,这些新兴疗法在降低慢性眼过敏患者疾病严重程度方面值得进一步研究。

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