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镰状细胞病药物治疗的进展:目前情况如何?

Advances in pharmacotherapy for sickle cell disease: what is the current state of play?

机构信息

Inova Adult Sickle Cell Center, University of Virginia School of Medicine, Inova Fairfax Medical Campus, Fairfax, VA, USA.

Lifespan Comprehensive Sickle Cell Center, University of Alabama Birmingham, Birmingham, AL, USA.

出版信息

Expert Opin Pharmacother. 2024 Jul;25(10):1325-1334. doi: 10.1080/14656566.2024.2377711. Epub 2024 Jul 8.

Abstract

INTRODUCTION

Despite over 100 years of neglect and insufficient funding, sickle cell disease has risen to the top of the discussions due to the recent approval of two new genetic therapies. Prior to these approvals, there were only four prior approved medications for sickle cell disease in spite of being the most common inherited blood disorder. The advent and expense of these new genetic therapies have finally brought the trials and tribulations associated with SCD including the suffering and early mortality of affected individuals to the much-needed limelight. Presently, questions about how these therapies will be used and what that means for ongoing pharmaceutical development remain.

AREAS COVERED

Here, we wish to highlight the current medications and treatments for SCD using already published literature as well as scrutinize the tedious process of implementation for these newly approved commercial genetic therapies.

EXPERT OPINION

In our expert opinion, despite the progress we have made, significant challenges remain and the most important requirement for any of these treatments is ensuring all affected individuals have access to a sickle cell specialist who can provide comprehensive care.

摘要

简介

尽管镰状细胞病被忽视了 100 多年,且资金不足,但由于最近批准了两种新的基因疗法,它已成为讨论的焦点。在这些批准之前,尽管镰状细胞病是最常见的遗传性血液疾病,但仅有四种先前批准的镰状细胞病药物。这些新基因疗法的出现和费用终于使与 SCD 相关的试验和磨难,包括受影响个体的痛苦和过早死亡,引起了人们的关注。目前,关于这些疗法将如何使用以及这对正在进行的药物开发意味着什么的问题仍然存在。

涵盖领域

在这里,我们希望使用已发表的文献来突出目前用于 SCD 的药物和治疗方法,并仔细审查这些新批准的商业基因疗法的实施繁琐过程。

专家意见

在我们的专家意见中,尽管我们已经取得了进展,但仍存在重大挑战,而这些治疗方法最重要的要求是确保所有受影响的个体都能获得能够提供全面护理的镰状细胞病专家。

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