Razumova I Yu, Godzenko A A
Krasnov Research Institute of Eye Diseases, Moscow, Russia.
Russian Medical Academy of Continuous Professional Education, Moscow, Russia.
Vestn Oftalmol. 2022;138(6):108-114. doi: 10.17116/oftalma2022138061108.
This review is devoted to the potential application of genetically engineered biological drugs of different classes in the treatment of main forms of uveitis and other types of non-infectious ocular inflammation in immunoinflammatory rheumatic diseases. The article presents the results of studies demonstrating the influence of interleukin-17 inhibitor secukinumab on the course of uveitis in spondylarthritis, shows the possibilities of treating uveitis in juvenile idiopathic arthritis with inhibitors of interleukin-6, co-stimulation of T-lymphocytes. Inhibition of interleukin-1 is considered an effective method of influencing the ocular inflammation in monogenic autoinflammatory syndromes and Behcet's disease. Rituximab is considered as an option for immunosuppressive therapy of non-infectious uveitis and scleritis.
本综述致力于不同类别的基因工程生物药物在治疗葡萄膜炎的主要形式以及免疫炎性风湿性疾病中的其他非感染性眼部炎症方面的潜在应用。本文介绍了研究结果,这些研究证明了白细胞介素-17抑制剂司库奇尤单抗对脊柱关节炎中葡萄膜炎病程的影响,展示了用白细胞介素-6抑制剂、T淋巴细胞共刺激来治疗青少年特发性关节炎中葡萄膜炎的可能性。抑制白细胞介素-1被认为是影响单基因自身炎症综合征和白塞病中眼部炎症的有效方法。利妥昔单抗被认为是非感染性葡萄膜炎和巩膜炎免疫抑制治疗的一种选择。