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Risk of candidiasis associated with interleukin-17 inhibitors: Implications and management.

作者信息

Bilal Hazrat, Khan Muhammad Nadeem, Khan Sabir, Fang Wenjie, Chang Wenqiang, Yin Bin, Song Ning-Jing, Liu Zhongrong, Zhang Dongxing, Yao Fen, Wang Xun, Wang Qian, Cai Lin, Hou Bing, Wang Jiayue, Mao Chunyan, Liu Lingxi, Zeng Yuebin

机构信息

Department of Dermatology, Second Affiliated Hospital of Shantou University Medical College, Shantou, China.

Faculty of Biological Sciences, Department of Microbiology, Quaid-I-Azam University, Islamabad, Pakistan.

出版信息

Mycology. 2023 Oct 20;15(1):30-44. doi: 10.1080/21501203.2023.2265664. eCollection 2024.


DOI:10.1080/21501203.2023.2265664
PMID:38558839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10977001/
Abstract

The application of interleukin-17 (IL-17) inhibitors, including secukinumab, ixekizumab, brodalumab, and bimekizumab, are associated with elevated risk of candidiasis. These medications interfere with the IL-17 pathway, which is essential for maintaining mucosal barriers and coordinating the immune response against species. The observational data and clinical trials demonstrate the increased incidence of candidiasis in individuals treated with IL-17 inhibitors. Brodalumab and bimekizumab pose a greater risk than secukinumab in eliciting candidiasis, whereas the data regarding ixekizumab are equivocal. Higher doses and prolonged treatment duration of IL-17 inhibitors increase the risk of candidiasis by compromising the immune response against species. Prior to prescribing IL-17 inhibitors, healthcare professionals should comprehensively evaluate patients' medical histories and assess their risk factors. Patients should be educated on the signs and symptoms of candidiasis to facilitate early detection and intervention. Future research should focus on identifying the risk factors associated with candidiasis in patients receiving IL-17 inhibitors. Prospective studies and long-term surveillance are required to explore the impact of specific inhibitors on the incidence and severity of candidiasis and to evaluate the effectiveness of combination therapies, such as concurrent use of IL-17 inhibitors and prophylactic antifungal agents.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af1/10977001/96d224da816b/TMYC_A_2265664_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af1/10977001/15ac3b30535f/TMYC_A_2265664_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af1/10977001/59681105369e/TMYC_A_2265664_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af1/10977001/8f91364c9932/TMYC_A_2265664_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af1/10977001/96d224da816b/TMYC_A_2265664_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af1/10977001/15ac3b30535f/TMYC_A_2265664_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af1/10977001/59681105369e/TMYC_A_2265664_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af1/10977001/8f91364c9932/TMYC_A_2265664_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af1/10977001/96d224da816b/TMYC_A_2265664_F0004_OC.jpg

相似文献

[1]
Risk of candidiasis associated with interleukin-17 inhibitors: Implications and management.

Mycology. 2023-10-20

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Friend or foe? Sebaceous cyst inflammation during ixekizumab therapy in psoriatic arthritis: case based review.

Rheumatol Int. 2025-8-12

[2]
Recurrent Vulvovaginal Candidosis and Its Underlying Mechanisms: A Systematic Review.

J Fungi (Basel). 2025-5-5

[3]
Genetic susceptibility to recurrent vulvovaginal candidiasis in an African population from Nairobi, Kenya.

Sci Rep. 2025-4-9

[4]
Deciphering the role of IL17RA in psoriasis and chronic mucocutaneous candidiasis: shared pathways and distinct manifestations.

Front Immunol. 2025-1-20

[5]
Host-microbe interaction paradigms in acute and recurrent vulvovaginal candidiasis.

Cell Host Microbe. 2024-10-9

[6]
The Impact of Oral Microbiome Dysbiosis on the Aetiology, Pathogenesis, and Development of Oral Cancer.

Cancers (Basel). 2024-8-28

[7]
Interleukin inhibitors and the associated risk of candidiasis.

Front Immunol. 2024

本文引用的文献

[1]
The Th17/IL-17 Axis and Host Defense Against Fungal Infections.

J Allergy Clin Immunol Pract. 2023-6

[2]
New insights into the function of Interleukin-25 in disease pathogenesis.

Biomark Res. 2023-4-1

[3]
Adverse events associated with anti-IL-17 agents for psoriasis and psoriatic arthritis: a systematic scoping review.

Front Immunol. 2023

[4]
English version of Japanese guidance for use of biologics for psoriasis (the 2022 version).

J Dermatol. 2023-2

[5]
Cathelicidin Antimicrobial Peptide LL37 Induces Toll-Like Receptor 8 and Amplifies IL-36γ and IL-17C in Human Keratinocytes.

J Invest Dermatol. 2023-5

[6]
IL-17D affects the chemokines and chemokine receptors of intestinal epithelial cells under hyperoxia.

Int Immunopharmacol. 2022-12

[7]
Drug safety evaluation of ixekizumab for psoriasis: a review of the current knowledge.

Expert Opin Drug Saf. 2022-10

[8]
Risk of Infection and Serious Infections in Patients with Moderate-to-Severe Psoriasis Receiving Biologics: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Int J Clin Pract. 2022

[9]
Antifungal Activity, Structural Stability, and Immunomodulatory Effects on Human Immune Cells of Defensin from the Lentil .

Membranes (Basel). 2022-8-31

[10]
Commensal Fungus Candida albicans Maintains a Long-Term Mutualistic Relationship with the Host To Modulate Gut Microbiota and Metabolism.

Microbiol Spectr. 2022-10-26

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