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干燥综合征的新型及潜在未来治疗选择。

Novel and potential future therapeutic options in Sjögren's syndrome.

作者信息

Zhao Ting, Zhang Runrun, Li Zhaofu, Qin Dongdong, Wang Xinchang

机构信息

Key Laboratory of Traditional Chinese Medicine for Prevention and Treatment of Neuropsychiatric Diseases, Yunnan University of Chinese Medicine, Kunming, 650500, China.

The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, 310000, China.

出版信息

Heliyon. 2024 Oct 1;10(19):e38803. doi: 10.1016/j.heliyon.2024.e38803. eCollection 2024 Oct 15.

Abstract

Sjögren's syndrome (SS) is a chronic autoimmune disease affecting the exocrine glands and can lead to various systemic symptoms impacting multiple organs. Despite its common occurrence, treatment options for SS have been largely limited, primarily focusing on alleviating symptoms rather than addressing the underlying autoimmune causes. A shift towards personalized medicine leads to the development of new therapeutic strategies aimed at targeting specific molecular pathways implicated in SS. Innovations in biologics are paving the way for inhibiting particular cytokines or cell surface molecules directly involved in the autoimmune mechanism. Furthermore, advancements in regenerative medicine, including the promising field of stem cell therapy, offer the potential for restoring or replacing the impaired salivary and lacrimal glands, providing hope for a more permanent resolution to this condition. This review encompasses cutting-edge treatment strategies for SS, spanning clinical and preclinical drugs to the latest treatment technology. Such advancements promise to drive targeted therapy development and inspire innovative ideas for treatment paradigms in SS.

摘要

干燥综合征(SS)是一种影响外分泌腺的慢性自身免疫性疾病,可导致影响多个器官的各种全身症状。尽管其发病率很高,但SS的治疗选择在很大程度上受到限制,主要侧重于缓解症状而非解决潜在的自身免疫病因。向个性化医疗的转变促使了旨在针对SS中涉及的特定分子途径的新治疗策略的发展。生物制剂的创新为直接抑制参与自身免疫机制的特定细胞因子或细胞表面分子铺平了道路。此外,再生医学的进展,包括前景广阔的干细胞治疗领域,为恢复或替代受损的唾液腺和泪腺提供了潜力,为更持久地解决这一病症带来了希望。本综述涵盖了SS的前沿治疗策略,从临床和临床前药物到最新的治疗技术。这些进展有望推动靶向治疗的发展,并激发SS治疗模式的创新思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5536/11490770/7996837671dc/gr1.jpg

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