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类风湿关节炎药物研发中颇具前景的分子治疗靶点

Promising Molecular Therapeutic Targets for Drug Development in Rheumatoid Arthritis.

作者信息

Chung Sang Wan

机构信息

Division of Rheumatology, Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul 02453, Republic of Korea.

出版信息

J Clin Med. 2025 Aug 18;14(16):5827. doi: 10.3390/jcm14165827.

DOI:10.3390/jcm14165827
PMID:40869653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12387021/
Abstract

Rheumatic diseases encompass various autoimmune and inflammatory conditions affecting the joints, muscles, and connective tissues. Recent studies have advanced our understanding of the molecular pathogenesis of rheumatic diseases and have led to the identification of several promising therapeutic targets, paving the way for the development of novel drug interventions. This review highlights the latest molecular advances in rheumatoid arthritis, with a particular focus on innovative therapeutic strategies, and presents new perspectives on their management, including cytokines, intracellular signaling pathways, immune checkpoints, and novel cell-based therapies. A better understanding of these targets is essential for developing effective and personalized treatments.

摘要

风湿性疾病包括各种影响关节、肌肉和结缔组织的自身免疫性和炎症性病症。最近的研究加深了我们对风湿性疾病分子发病机制的理解,并导致了几个有前景的治疗靶点的识别,为新型药物干预的开发铺平了道路。本综述重点介绍类风湿关节炎的最新分子进展,特别关注创新治疗策略,并就其管理提出新观点,包括细胞因子、细胞内信号通路、免疫检查点和新型细胞疗法。更好地理解这些靶点对于开发有效和个性化治疗至关重要。

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本文引用的文献

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Switching to biological DMARDs versus cycling among JAK inhibitors in patients with rheumatoid arthritis and with inadequate response to JAK inhibitors: from FIRST registry.类风湿关节炎患者对JAK抑制剂反应不足时,从JAK抑制剂间循环用药转换为使用生物改善病情抗风湿药:来自FIRST注册研究
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Chin Med J (Engl). 2024 Jul 26. doi: 10.1097/CM9.0000000000003200.
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Phase 2b randomized trial of OX40 inhibitor telazorlimab for moderate-to-severe atopic dermatitis.OX40抑制剂替雷佐利单抗治疗中度至重度特应性皮炎的2b期随机试验。
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Safety and efficacy of amlitelimab, a fully human nondepleting, noncytotoxic anti-OX40 ligand monoclonal antibody, in atopic dermatitis: results of a phase IIa randomized placebo-controlled trial.奥昔利单抗(一种完全人源、非耗竭性、非细胞毒性的 OX40 配体单克隆抗体)治疗特应性皮炎的安全性和有效性:一项 IIa 期随机安慰剂对照试验的结果。
Br J Dermatol. 2023 Oct 25;189(5):531-539. doi: 10.1093/bjd/ljad240.
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A Phase 2 Trial of Peresolimab for Adults with Rheumatoid Arthritis.佩雷索利单抗治疗成人类风湿关节炎的 2 期临床试验。
N Engl J Med. 2023 May 18;388(20):1853-1862. doi: 10.1056/NEJMoa2209856.
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An anti-OX40 antibody to treat moderate-to-severe atopic dermatitis: a multicentre, double-blind, placebo-controlled phase 2b study.抗 OX40 抗体治疗中重度特应性皮炎:一项多中心、双盲、安慰剂对照的 2b 期研究。
Lancet. 2023 Jan 21;401(10372):204-214. doi: 10.1016/S0140-6736(22)02037-2. Epub 2022 Dec 9.
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EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2022 update.EULAR 推荐的类风湿关节炎治疗方案:使用合成和生物疾病修正抗风湿药物:2022 更新版。
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