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Chin J Integr Med. 2025 May 26. doi: 10.1007/s11655-025-4224-z.

开启未来:类风湿关节炎的新型生物疗法

Unlocking the Future: New Biologic Therapies for Rheumatoid Arthritis.

作者信息

Patil Sarika J, Thorat Vandana M, Koparde Akshada A, Bhinge Somnath D, Chavan Dhanashri D, Bhosale Rohit R

机构信息

Department of Pharmacology, Krishna Institute of Medical Sciences, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, IND.

Department of Pharmaceutical Chemistry, Krishna Institute of Pharmacy, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, IND.

出版信息

Cureus. 2024 Oct 27;16(10):e72486. doi: 10.7759/cureus.72486. eCollection 2024 Oct.

DOI:10.7759/cureus.72486
PMID:39600762
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11592031/
Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disorder that leads to joint destruction and functional disability. Traditional treatments, including disease-modifying antirheumatic drugs (DMARDs), often fail, leaving many patients without remission. The advent of biologic therapies that target specific immune system components (e.g., cytokines, T cells) has transformed RA treatment by offering new management options. These biologics (e.g., TNF inhibitors, interleukin blockers) are highly effective in controlling disease activity and preventing joint destruction. However, their use comes with safety concerns, particularly regarding immunosuppression and infection risks. Although still experimental, studies predict that future research will focus on enhancing the clinical response and safety of these agents through personalized approaches or novel mechanisms of action.

摘要

类风湿性关节炎(RA)是一种慢性自身免疫性疾病,会导致关节破坏和功能残疾。包括改善病情抗风湿药(DMARDs)在内的传统治疗方法常常失败,许多患者无法实现病情缓解。靶向特定免疫系统成分(如细胞因子、T细胞)的生物疗法的出现,通过提供新的治疗选择改变了RA的治疗方式。这些生物制剂(如肿瘤坏死因子抑制剂、白细胞介素阻滞剂)在控制疾病活动和预防关节破坏方面非常有效。然而,它们的使用存在安全问题,尤其是免疫抑制和感染风险。尽管仍处于实验阶段,但研究预测,未来的研究将集中于通过个性化方法或新的作用机制来提高这些药物的临床反应和安全性。