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阿仑单抗治疗后发生的结节病:阿仑单抗对其患者构成威胁吗?

Sarcoidosis after Alemtuzumab therapy: Is Alemtuzumab posing a threat to its patients?

作者信息

Nizamani Misbah

机构信息

Dow Medical College, DUHS.

出版信息

Sarcoidosis Vasc Diffuse Lung Dis. 2024 Dec 10;41(4):e2024036. doi: 10.36141/svdld.v41i4.15873.

DOI:10.36141/svdld.v41i4.15873
PMID:39655586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708946/
Abstract

Sarcoidosis is a multi-system disorder characterized by the formation of non-caseating granulomas. It is a disorder of unknown etiology. Interferon-induced sarcoidosis is a well-known phenomenon. However, in the past few years, few cases have come forward in which after treatment with a monoclonal antibody, Alemtuzumab, patients developed sarcoidosis. This antibody targets the pan-lymphocyte CD52 antigen found on both human lymphoid and myeloid cells and is used in the treatment of Relapsing Remitting Multiple Sclerosis, leukemia, etc. Patients, in these cases, after a few years of treatment developed sarcoidosis but fortunately responded well to the treatment, if needed.

摘要

结节病是一种以非干酪样肉芽肿形成为特征的多系统疾病。它是一种病因不明的疾病。干扰素诱导的结节病是一种众所周知的现象。然而,在过去几年中,很少有病例出现,即使用单克隆抗体阿仑单抗治疗后,患者发生了结节病。这种抗体靶向人类淋巴细胞和髓细胞上发现的全淋巴细胞CD52抗原,用于治疗复发缓解型多发性硬化症、白血病等。在这些病例中,患者在接受数年治疗后发生了结节病,但幸运的是,如果需要,对治疗反应良好。

相似文献

1
Sarcoidosis after Alemtuzumab therapy: Is Alemtuzumab posing a threat to its patients?阿仑单抗治疗后发生的结节病:阿仑单抗对其患者构成威胁吗?
Sarcoidosis Vasc Diffuse Lung Dis. 2024 Dec 10;41(4):e2024036. doi: 10.36141/svdld.v41i4.15873.
2
Alemtuzumab: evidence for its potential in relapsing-remitting multiple sclerosis.阿仑单抗:其在复发缓解型多发性硬化症中的潜在作用证据
Drug Des Devel Ther. 2013;7:131-8. doi: 10.2147/DDDT.S32687. Epub 2013 Mar 6.
3
Treatment effectiveness of alemtuzumab compared with natalizumab, fingolimod, and interferon beta in relapsing-remitting multiple sclerosis: a cohort study.在复发缓解型多发性硬化症中,与那他珠单抗、芬戈莫德和干扰素β相比,阿仑单抗的治疗效果:一项队列研究。
Lancet Neurol. 2017 Apr;16(4):271-281. doi: 10.1016/S1474-4422(17)30007-8. Epub 2017 Feb 11.
4
Acute sarcoidosis in a multiple sclerosis patient after alemtuzumab treatment.在使用阿仑单抗治疗后,多发性硬化症患者出现急性肉样瘤病。
Mult Scler. 2018 Nov;24(13):1776-1778. doi: 10.1177/1352458518771276. Epub 2018 Oct 11.
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Alemtuzumab versus interferon beta 1a as first-line treatment for patients with relapsing-remitting multiple sclerosis: a randomised controlled phase 3 trial.阿仑单抗与干扰素β1a 作为复发缓解型多发性硬化症一线治疗的比较:一项随机对照 3 期试验。
Lancet. 2012 Nov 24;380(9856):1819-28. doi: 10.1016/S0140-6736(12)61769-3. Epub 2012 Nov 1.
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Alemtuzumab for patients with relapsing multiple sclerosis after disease-modifying therapy: a randomised controlled phase 3 trial.阿仑单抗治疗缓解复发型多发性硬化症患者:一项疾病修饰治疗后随机对照 3 期试验。
Lancet. 2012 Nov 24;380(9856):1829-39. doi: 10.1016/S0140-6736(12)61768-1. Epub 2012 Nov 1.
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Cardiac sarcoidosis requiring ICD placement and immune thrombocytopenia following alemtuzumab treatment for multiple sclerosis.心脏结节病需要植入植入式心脏复律除颤器,以及在使用阿仑单抗治疗多发性硬化症后出现免疫性血小板减少症。
Mult Scler Relat Disord. 2021 Jan;47:102599. doi: 10.1016/j.msard.2020.102599. Epub 2020 Oct 28.
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Alemtuzumab: A Review in Relapsing Remitting Multiple Sclerosis.阿仑单抗:复发缓解型多发性硬化症的综述
Drugs. 2021 Jan;81(1):157-168. doi: 10.1007/s40265-020-01437-2.
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Alemtuzumab in the treatment of multiple sclerosis.阿仑单抗治疗多发性硬化症
J Inflamm Res. 2014 Feb 12;7:19-27. doi: 10.2147/JIR.S38079. eCollection 2014.
10
Alemtuzumab: a new therapy for active relapsing-remitting multiple sclerosis.阿仑单抗:一种用于活动性复发缓解型多发性硬化症的新疗法。
Mult Scler. 2015 Jan;21(1):22-34. doi: 10.1177/1352458514549398. Epub 2014 Oct 24.

本文引用的文献

1
Cardiac sarcoidosis requiring ICD placement and immune thrombocytopenia following alemtuzumab treatment for multiple sclerosis.心脏结节病需要植入植入式心脏复律除颤器,以及在使用阿仑单抗治疗多发性硬化症后出现免疫性血小板减少症。
Mult Scler Relat Disord. 2021 Jan;47:102599. doi: 10.1016/j.msard.2020.102599. Epub 2020 Oct 28.
2
Acute sarcoidosis in a multiple sclerosis patient after alemtuzumab treatment.在使用阿仑单抗治疗后,多发性硬化症患者出现急性肉样瘤病。
Mult Scler. 2018 Nov;24(13):1776-1778. doi: 10.1177/1352458518771276. Epub 2018 Oct 11.
3
Sarcoidosis following alemtuzumab treatment for multiple sclerosis.多发性硬化症用阿仑单抗治疗后发生肉样瘤病。
Mult Scler. 2018 Nov;24(13):1779-1782. doi: 10.1177/1352458518790391. Epub 2018 Oct 11.
4
The development of sarcoidosis with the use of alemtuzumab - clues to T-cell immune reconstitution.使用阿仑单抗治疗后结节病的发展——T细胞免疫重建的线索
Br J Haematol. 2007 Aug;138(4):559-60. doi: 10.1111/j.1365-2141.2007.06687.x. Epub 2007 Jun 22.
5
Interferon-induced sarcoidosis.干扰素诱导的结节病。
J Clin Rheumatol. 2006 Oct;12(5):241-8. doi: 10.1097/01.rhu.0000240035.67652.9d.
6
Reconstitution of the T-cell repertoire following treatment with alemtuzumab (anti-CD52 monoclonal antibody) in patients with B-cell chronic lymphocytic leukaemia.使用阿仑单抗(抗CD52单克隆抗体)治疗B细胞慢性淋巴细胞白血病患者后T细胞库的重建
Br J Haematol. 2006 Nov;135(4):475-85. doi: 10.1111/j.1365-2141.2006.06324.x. Epub 2006 Sep 22.