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西罗莫司(雷帕霉素)诱导抗肿瘤坏死因子难治性小儿溃疡性结肠炎的黏膜愈合。

Sirolimus (Rapamycin) Induced Mucosal Healing in Anti-Tumor Necrosis Factor Refractory Pediatric Ulcerative Colitis.

作者信息

Kellermayer Richard, Chang Andrew, Patel Kalyani

机构信息

Section of Pediatric Gastroenterology, Texas Children's Hospital Baylor College of Medicine.

USDA/ARS Children's Nutrition Research Center.

出版信息

JPGN Rep. 2022 Mar 17;3(2):e183. doi: 10.1097/PG9.0000000000000183. eCollection 2022 May.

DOI:10.1097/PG9.0000000000000183
PMID:37168909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10158451/
Abstract

Sirolimus (rapamycin) has been sparsely reported in the treatment of pediatric ulcerative colitis (PUC). Mucosal healing has not been examined in responders to the drug. We describe a case of infliximab refractory PUC where rapamycin induced sustained clinical remission along with mucosal healing. We conclude that rapamycin should be positioned into the expanding treatment repertoire of PUC.

摘要

西罗莫司(雷帕霉素)用于治疗儿童溃疡性结肠炎(PUC)的报道较少。尚未对该药物治疗有效的患者进行黏膜愈合情况的检查。我们描述了1例英夫利昔单抗难治性PUC病例,雷帕霉素诱导了持续的临床缓解并伴有黏膜愈合。我们得出结论,雷帕霉素应纳入不断扩大的PUC治疗方法中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cf4/10158451/7bb49c1c78a4/pg9-3-e183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cf4/10158451/7bb49c1c78a4/pg9-3-e183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cf4/10158451/7bb49c1c78a4/pg9-3-e183-g001.jpg

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J Pediatr Surg. 2020 Sep;55(9):1815-1823. doi: 10.1016/j.jpedsurg.2020.01.054. Epub 2020 Feb 3.
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BMC Microbiol. 2023 Mar 21;23(1):77. doi: 10.1186/s12866-023-02819-8.
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