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替普珠单抗:一种延缓1型糖尿病进展的有前景的干预措施。

Teplizumab: a promising intervention for delaying type 1 diabetes progression.

作者信息

Saleem Muhammad Rizwan, Khan Muhammad Talha

机构信息

Dow Medical College Bachelor of Medicine, Bachelor of Surgery (MBBS), Dow University of Health Sciences, Karachi, Sindh, Pakistan.

出版信息

Front Endocrinol (Lausanne). 2025 Apr 28;16:1533748. doi: 10.3389/fendo.2025.1533748. eCollection 2025.

DOI:10.3389/fendo.2025.1533748
PMID:40357199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12066327/
Abstract

Type 1 diabetes (T1D) arises from an autoimmune attack on pancreatic beta cells, leading to a reliance on external insulin to maintain glucose levels. In recent years, research has increasingly focused on preventive strategies for individuals at high risk. A promising new intervention in this field is Teplizumab, the first approved disease-modifying therapy for T1D. Teplizumab is designed to delay progression to stage 3 T1D in adults and children aged 8 years and older who are diagnosed with stage 2 T1D.

摘要

1型糖尿病(T1D)源于对胰腺β细胞的自身免疫攻击,导致依赖外源性胰岛素来维持血糖水平。近年来,研究越来越关注高危个体的预防策略。该领域一种有前景的新干预措施是替普珠单抗,它是首个被批准用于治疗1型糖尿病的疾病改善疗法。替普珠单抗旨在延缓8岁及以上被诊断为2期1型糖尿病的成人和儿童进展至3期1型糖尿病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2872/12066327/e434689f2997/fendo-16-1533748-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2872/12066327/e434689f2997/fendo-16-1533748-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2872/12066327/e434689f2997/fendo-16-1533748-g001.jpg

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本文引用的文献

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Teplizumab induces persistent changes in the antigen-specific repertoire in individuals at risk for type 1 diabetes.特普力单抗可诱导 1 型糖尿病高危个体的抗原特异性库中产生持久变化。
J Clin Invest. 2024 Aug 13;134(18):e177492. doi: 10.1172/JCI177492.
2
Teplizumab's immunomodulatory effects on pancreatic β-cell function in type 1 diabetes mellitus.替普珠单抗对1型糖尿病患者胰腺β细胞功能的免疫调节作用。
Clin Diabetes Endocrinol. 2024 Aug 10;10(1):23. doi: 10.1186/s40842-024-00181-w.
3
Use of teplizumab in children and adolescents at risk of type 1 diabetes: perspectives of parents and caregivers from an Italian Pediatric Diabetes Center.
在意大利儿科糖尿病中心,使用 teplizumab 治疗处于 1 型糖尿病风险中的儿童和青少年:来自父母和照护者的观点。
Acta Diabetol. 2024 May;61(5):635-642. doi: 10.1007/s00592-024-02245-w. Epub 2024 Feb 21.
4
Journey of Teplizumab: A Promising Drug in the Treatment of Type 1 Diabetes Mellitus.特力泌单抗之旅:1 型糖尿病治疗的有前途的药物。
Curr Diabetes Rev. 2024;21(1):e250124226249. doi: 10.2174/0115733998261825231026060241.
5
Teplizumab and β-Cell Function in Newly Diagnosed Type 1 Diabetes.特立帕肽和新诊断 1 型糖尿病的β细胞功能。
N Engl J Med. 2023 Dec 7;389(23):2151-2161. doi: 10.1056/NEJMoa2308743. Epub 2023 Oct 18.
6
Environmental Factors and the Risk of Developing Type 1 Diabetes-Old Disease and New Data.环境因素与1型糖尿病的发病风险——旧病与新数据
Biology (Basel). 2022 Apr 16;11(4):608. doi: 10.3390/biology11040608.
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Diabetes. 2022 Apr 1;71(4):610-623. doi: 10.2337/dbi20-0054.
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Dietary factors and risk of islet autoimmunity and type 1 diabetes: a systematic review and meta-analysis.饮食因素与胰岛自身免疫和 1 型糖尿病风险:系统评价和荟萃分析。
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