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美泊利单抗治疗慢性阻塞性肺疾病(COPD):生物治疗的新前沿。

Mepolizumab in Chronic Obstructive Pulmonary Disease (COPD): A new frontier in biologic therapy.

作者信息

Mukesh Arun, Chittoria Konica, Sharma Ankur

机构信息

Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences (AIIMS), Kalyani, India.

Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India.

出版信息

Saudi J Anaesth. 2025 Oct-Dec;19(4):604-606. doi: 10.4103/sja.sja_501_25. Epub 2025 Sep 3.

DOI:10.4103/sja.sja_501_25
PMID:40994498
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12456639/
Abstract

Mepolizumab, a comprehensible monoclonal antibody that inhibits interleukin-5 (IL-5), offers a new therapeutic option for a subset of patients with chronic obstructive pulmonary disease (COPD) marked by eosinophilic inflammation. Despite the success of conventional inhaled therapies, a significant proportion of COPD patients continue to experience exacerbations. This review discusses the mechanism, clinical trials, safety profile, and future potential of mepolizumab, the first and only FDA-approved biologic for COPD.

摘要

美泊利珠单抗是一种可理解的抑制白细胞介素-5(IL-5)的单克隆抗体,为一部分以嗜酸性粒细胞炎症为特征的慢性阻塞性肺疾病(COPD)患者提供了一种新的治疗选择。尽管传统吸入疗法取得了成功,但仍有相当一部分COPD患者继续经历病情加重。本综述讨论了美泊利珠单抗的作用机制、临床试验、安全性概况以及未来潜力,它是首个也是唯一一个获美国食品药品监督管理局(FDA)批准用于COPD的生物制剂。

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Mepolizumab in Chronic Obstructive Pulmonary Disease (COPD): A new frontier in biologic therapy.美泊利单抗治疗慢性阻塞性肺疾病(COPD):生物治疗的新前沿。
Saudi J Anaesth. 2025 Oct-Dec;19(4):604-606. doi: 10.4103/sja.sja_501_25. Epub 2025 Sep 3.
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本文引用的文献

1
Mepolizumab to Prevent Exacerbations of COPD with an Eosinophilic Phenotype.美泊利单抗预防嗜酸性粒细胞型慢性阻塞性肺疾病的急性加重
N Engl J Med. 2025 May 1;392(17):1710-1720. doi: 10.1056/NEJMoa2413181.
2
Real-World Effectiveness of Mepolizumab in Severe Asthma: Results from the Multi-country, Self-controlled Nucala Effectiveness Study (NEST).真实世界中美泊利珠单抗治疗重度哮喘的疗效:多国、自身对照、努卡莱斯有效性研究(NEST)的结果。
Adv Ther. 2024 Nov;41(11):4008-4031. doi: 10.1007/s12325-024-02967-x. Epub 2024 Aug 31.
3
Mepolizumab for Eosinophil-Associated COPD: Analysis of METREX and METREO.美泊利珠单抗治疗嗜酸性粒细胞相关 COPD:METREX 和 METREO 分析。
Int J Chron Obstruct Pulmon Dis. 2021 Jun 16;16:1755-1770. doi: 10.2147/COPD.S294333. eCollection 2021.
4
Efficacy and safety of mepolizumab in hypereosinophilic syndrome: A phase III, randomized, placebo-controlled trial.美泊利珠单抗治疗高嗜酸性粒细胞综合征的疗效和安全性:一项 III 期、随机、安慰剂对照试验。
J Allergy Clin Immunol. 2020 Dec;146(6):1397-1405. doi: 10.1016/j.jaci.2020.08.037. Epub 2020 Sep 18.
5
Targeting IL-5 in COPD.靶向 COPD 中的 IL-5。
Int J Chron Obstruct Pulmon Dis. 2019 May 16;14:1045-1051. doi: 10.2147/COPD.S155306. eCollection 2019.
6
Blood eosinophil count thresholds and exacerbations in patients with chronic obstructive pulmonary disease.慢性阻塞性肺疾病患者的血嗜酸性粒细胞计数阈值与加重。
J Allergy Clin Immunol. 2018 Jun;141(6):2037-2047.e10. doi: 10.1016/j.jaci.2018.04.010. Epub 2018 Apr 28.
7
Mepolizumab for Eosinophilic Chronic Obstructive Pulmonary Disease.美泊利珠单抗治疗嗜酸性粒细胞性慢性阻塞性肺疾病。
N Engl J Med. 2017 Oct 26;377(17):1613-1629. doi: 10.1056/NEJMoa1708208. Epub 2017 Sep 11.
8
Eosinophils in COPD Exacerbations Are Associated With Increased Readmissions.COPD 加重期的嗜酸性粒细胞与住院次数增加有关。
Chest. 2017 Feb;151(2):366-373. doi: 10.1016/j.chest.2016.10.003. Epub 2016 Oct 13.
9
Eosinophilic inflammation in COPD: prevalence and clinical characteristics.慢性阻塞性肺疾病中的嗜酸性粒细胞炎症:患病率及临床特征
Eur Respir J. 2014 Dec;44(6):1697-700. doi: 10.1183/09031936.00162414. Epub 2014 Oct 16.
10
Mepolizumab treatment in patients with severe eosinophilic asthma.美泊利珠单抗治疗严重嗜酸性粒细胞性哮喘患者。
N Engl J Med. 2014 Sep 25;371(13):1198-207. doi: 10.1056/NEJMoa1403290. Epub 2014 Sep 8.