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司库奇尤单抗(抗白细胞介素-17A治疗性抗体)改善了混合型CRS的临床结局。

Secukinumab (Anti-IL-17A Therapeutic Antibody) Improves Clinical Outcome for a Mixed Endotype CRS.

作者信息

Plaas Mihkel, Brazovskaja Agnieska, Kisand Kai, Tserel Liina, Peterson Pärt

机构信息

Ear Clinic Tartu University Hospital Tartu Estonia.

Institute of Clinical Medicine University of Tartu Tartu Estonia.

出版信息

Clin Case Rep. 2024 Dec 9;12(12):e9692. doi: 10.1002/ccr3.9692. eCollection 2024 Dec.

Abstract

We identified two CRSwNP patients who had previously failed treatment with an anti-IL-4/IL-13 antibody (dupilumab). Based on their clinical characteristics and blood cytokine levels, we considered them mixed Type II/Type III cases and treated them with an anti-IL-17 antibody (secukinumab). Anti-IL-17 antibody secukinumab was superior in reducing their NPS and SNOT-22 values compared to dupilumab. IL-17 could be a promising target for non-type II and mixed endotype CRS treatment.

摘要

我们识别出两名先前使用抗IL-4/IL-13抗体(度普利尤单抗)治疗失败的慢性鼻-鼻窦炎伴鼻息肉(CRSwNP)患者。根据他们的临床特征和血液细胞因子水平,我们认为他们属于II型/III型混合病例,并使用抗IL-17抗体(司库奇尤单抗)对他们进行治疗。与度普利尤单抗相比,抗IL-17抗体司库奇尤单抗在降低他们的鼻息肉评分(NPS)和鼻窦症状测试-22(SNOT-22)值方面更具优势。IL-17可能是治疗非II型和混合型内型CRS的一个有前景的靶点。

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本文引用的文献

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Associations Between Inflammatory Endotypes and Clinical Presentations in Chronic Rhinosinusitis.慢性鼻-鼻窦炎的炎症表型与临床表现的相关性。
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IL-17 cytokines in immunity and inflammation.免疫与炎症中的白细胞介素-17细胞因子
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