系统性红斑狼疮天然产物和抗体药物的进展:新的治疗思路

Advances in natural products and antibody drugs for SLE: new therapeutic ideas.

作者信息

Han Yibing, Liu Lingwei, Zang Bo, Liang Ruiwen, Zhao Xinyue, Liu Bin

机构信息

Department of Rheumatology, The Affiliated Hospital of Qingdao University, Shandong, China.

出版信息

Front Pharmacol. 2023 Jul 10;14:1235440. doi: 10.3389/fphar.2023.1235440. eCollection 2023.

Abstract

Systemic Lupus Erythematosus (SLE) is a chronic autoimmune systemic disease with a wide range of clinical symptoms, complex development processes, and uncertain prognosis. The clinical treatment of SLE is mainly based on hormones and immunosuppressants. Research on novel therapy strategies for SLE has flourished in recent years, especially the emergence of new targeted drugs and natural products that can modulate related symptoms. This review discusses the current experience including B-cell targeted drugs (belimumab, tabalumab, blisibimod, atacicept, rituximab, ofatumumab, ocrelizumab, obexelimab, and epratuzumab), T-cell targeted drugs (abatacept, dapirolizumab, and inhibitor of syk and CaMKIV), cytokines targeted drugs (anifrolumab and sifalimumab), and natural products (curcumin, oleuropein, punicalagin, sulforaphane, icariin, apigenin, and resveratrol). The aim of this paper is to combine the existing and models and clinical research results to summarize the efficacy and mechanism of natural drugs and targeted drugs in SLE for the reference and consideration of researchers.

摘要

系统性红斑狼疮(SLE)是一种慢性自身免疫性全身性疾病,临床症状广泛,发展过程复杂,预后不确定。SLE的临床治疗主要基于激素和免疫抑制剂。近年来,针对SLE的新型治疗策略研究蓬勃发展,尤其是能够调节相关症状的新型靶向药物和天然产物的出现。本综述讨论了当前的经验,包括B细胞靶向药物(贝利木单抗、他巴鲁单抗、布利西莫德、阿他西普、利妥昔单抗、奥法木单抗、奥瑞珠单抗、奥贝西单抗和依帕珠单抗)、T细胞靶向药物(阿巴西普、达匹罗珠单抗以及脾酪氨酸激酶和钙/钙调蛋白依赖性蛋白激酶IV抑制剂)、细胞因子靶向药物(阿尼氟单抗和西法莫单抗)以及天然产物(姜黄素、橄榄苦苷、石榴皮苷、萝卜硫素、淫羊藿苷、芹菜素和白藜芦醇)。本文旨在结合现有的模型和临床研究结果,总结天然药物和靶向药物在SLE中的疗效和作用机制,以供研究人员参考和思考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b11e/10363611/72b235aa6d1d/fphar-14-1235440-g001.jpg

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