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[tezepelumab:治疗重度哮喘的新选择]

[Tezepelumab: a new option for the treatment of severe asthma].

作者信息

Maldonado-Ríos Valente Armando, Ardila-Herrera Juan Camilo, Galicia-Sánchez Luz María, Celis-Preciado Carlos Andrés

机构信息

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez", Servicio de Alergia e Inmunología Clínica. Ciudad de México, México.

Unimeq ORL, Servicio de Alergología. Bogotá, Colombia.

出版信息

Rev Med Inst Mex Seguro Soc. 2023 Nov 6;61(6):841-848. doi: 10.5281/zenodo.10064422.

Abstract

In Latin America, asthma is a public health problem with a significant impact on both patients and health systems. The greater understanding of the pathophysiology and the recognition of the central role that inflammation has in the severity of asthma has favored the development of monoclonal antibodies that have IL-5, IL-4, IL-13 and IgE as therapeutic targets. Although these therapeutic alternatives promote better control of the disease, not all patients respond favorably to these treatments. Therefore, it is of particular interest to explore monoclonal antibodies such as Tezepelumab, directed against thymic stromal lymphopoietin (TSLP), an alarmin (epithelial cytokine) that participates in the initiation and perpetuation of inflammation in Asthma. Therefore, in this review, we will show the clinical efficacy of tezepelumab in reducing the annual rate of exacerbations, improving lung function, and reducing bronchial hyperreactivity, regardless of the patient's baseline biomarker levels. Therefore, this new molecule is a highly effective therapeutic option for patients with severe asthma.

摘要

在拉丁美洲,哮喘是一个对患者和卫生系统都有重大影响的公共卫生问题。对病理生理学的更深入理解以及对炎症在哮喘严重程度中核心作用的认识,推动了以白细胞介素-5(IL-5)、白细胞介素-4(IL-4)、白细胞介素-13(IL-13)和免疫球蛋白E(IgE)为治疗靶点的单克隆抗体的研发。尽管这些治疗选择能更好地控制疾病,但并非所有患者对这些治疗都有良好反应。因此,探索诸如tezepelumab这类针对胸腺基质淋巴细胞生成素(TSLP)的单克隆抗体尤为重要,TSLP是一种警报素(上皮细胞因子),参与哮喘炎症的起始和持续过程。因此,在本综述中,我们将展示tezepelumab在降低年发作率、改善肺功能以及降低支气管高反应性方面的临床疗效,无论患者的基线生物标志物水平如何。所以,这种新分子对于重度哮喘患者是一种非常有效的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac68/10723833/5046926f3df3/04435117-61-6-841-f001.jpg

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