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AMY-101作为用于牙周炎治疗的补体C3抑制剂:作用机制、疗效及临床转化

AMY-101 as complement C3 inhibitor for periodontitis therapy: mechanisms, efficacy, and clinical translation.

作者信息

Li Jialun, Xu Zhi, Ayre Wayne Nishio, Liu Xiaohan

机构信息

Department of Prosthodontics, School and Hospital of Stomatology, China Medical University, Shenyang, China.

Liaoning Provincial Key Laboratory of Oral Diseases, China Medical University, Shenyang, China.

出版信息

Front Immunol. 2025 Apr 29;16:1587126. doi: 10.3389/fimmu.2025.1587126. eCollection 2025.

Abstract

Periodontitis is a chronic inflammatory disease characterized by gingival inflammation, alveolar bone resorption, and periodontal tissue destruction. Complement activation, particularly through the C3 component, plays a critical role in the inflammatory processes underlying periodontitis. AMY-101, a selective inhibitor of complement C3, has demonstrated significant potential in modulating complement activity and mitigating periodontal inflammation. This study comprehensively evaluates AMY-101's effects through , preclinical, and clinical studies. Mechanistic investigations revealed that AMY-101 effectively suppresses pro-inflammatory cytokines and matrix metalloproteinases (MMPs), reducing tissue destruction. Preclinical models confirmed AMY-101's ability to improve clinical parameters such as probing pocket depth, attachment loss, and bone preservation. Moreover, clinical trials demonstrated AMY-101's safety and efficacy in reducing gingival inflammation and bleeding without serious adverse events. These findings highlight AMY-101's therapeutic potential for periodontitis and broader applicability in other complement-driven inflammatory diseases.

摘要

牙周炎是一种慢性炎症性疾病,其特征为牙龈炎症、牙槽骨吸收和牙周组织破坏。补体激活,尤其是通过C3成分的激活,在牙周炎潜在的炎症过程中起关键作用。AMY-101是一种补体C3的选择性抑制剂,已在调节补体活性和减轻牙周炎症方面显示出巨大潜力。本研究通过临床前和临床研究全面评估了AMY-101的作用。机制研究表明,AMY-101可有效抑制促炎细胞因子和基质金属蛋白酶(MMPs),减少组织破坏。临床前模型证实了AMY-101改善诸如探诊深度、附着丧失和骨保存等临床参数的能力。此外,临床试验证明了AMY-101在减少牙龈炎症和出血方面的安全性和有效性,且无严重不良事件。这些发现凸显了AMY-101对牙周炎的治疗潜力及其在其他补体驱动的炎症性疾病中的更广泛适用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfd5/12069041/79f908691ff8/fimmu-16-1587126-g001.jpg

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