Cao Yonghao, Harvey Bohdan P, Jin Liang, Westmoreland Susan, Wang Jing, Puri Munish, Yang Yingli, Robb Holly M, Tanriverdi Sultan, Hu Chenqi, Wang Xue, Xin Xiaofeng, Liu Yingchun, Macoritto Michael P, Smith Kathleen M, Tian Yu, White Kevin, Radstake Timothy R D J, Kaymakcalan Zehra
Transformational and Translational Immunology Discovery, AbbVie Bioresearch Center, Worcester, Massachusetts, USA.
DMPK-BA, AbbVie Bioresearch Center, Worcester, Massachusetts, USA.
JID Innov. 2023 Nov 25;4(1):100250. doi: 10.1016/j.xjidi.2023.100250. eCollection 2024 Jan.
Adalimumab but neither etanercept nor certolizumab-pegol has been reported to induce a wound-healing profile in vitro by regulating macrophage differentiation and matrix metalloproteinase expression, which may underlie the differences in efficacy between various TNF-α inhibitors in impaired wound healing in patients with hidradenitis suppurativa, a chronic inflammatory skin disease. To examine and compare the efficacy of various TNF inhibitors in cutaneous wound healing in vivo, a human TNF knock-in Lepr mouse model was established to model the impaired cutaneous wound healing as seen in hidradenitis suppurativa. The vehicle group exhibited severe impairments in cutaneous wound healing. In contrast, adalimumab significantly accelerated healing, confirmed by both histologic assessment and a unique healing transcriptional profile. Moreover, adalimumab and infliximab showed similar levels of efficacy, but golimumab was less effective, along with etanercept and certolizumab-pegol. In line with histologic assessments, proteomics analyses from healing wounds exposed to various TNF inhibitors revealed distinct and differential wound-healing signatures that may underlie the differential efficacy of these inhibitors in accelerating cutaneous wound healing. Taken together, these data revealed that TNF inhibitors exhibited differential levels of efficacy in accelerating cutaneous wound healing in the impaired wound-healing model in vivo.
据报道,阿达木单抗可通过调节巨噬细胞分化和基质金属蛋白酶表达在体外诱导伤口愈合,而依那西普和聚乙二醇化赛妥珠单抗则不能,这可能是化脓性汗腺炎(一种慢性炎症性皮肤病)患者伤口愈合受损时各种肿瘤坏死因子-α(TNF-α)抑制剂疗效差异的原因。为了在体内检查和比较各种TNF抑制剂在皮肤伤口愈合中的疗效,建立了人TNF基因敲入Lepr小鼠模型,以模拟化脓性汗腺炎中所见的皮肤伤口愈合受损情况。载体组在皮肤伤口愈合方面表现出严重受损。相比之下,阿达木单抗显著加速了愈合,这通过组织学评估和独特的愈合转录谱得到证实。此外,阿达木单抗和英夫利昔单抗显示出相似的疗效水平,但戈利木单抗以及依那西普和聚乙二醇化赛妥珠单抗的效果较差。与组织学评估一致,对暴露于各种TNF抑制剂的愈合伤口进行的蛋白质组学分析揭示了不同的伤口愈合特征,这可能是这些抑制剂在加速皮肤伤口愈合方面疗效差异的基础。综上所述,这些数据表明,在体内伤口愈合受损模型中,TNF抑制剂在加速皮肤伤口愈合方面表现出不同程度的疗效。
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