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类风湿关节炎中肿瘤坏死因子α阻断:理论依据、临床疗效及作用机制

TNF alpha blockade in rheumatoid arthritis: rationale, clinical outcomes and mechanisms of action.

作者信息

Elliott M J, Feldmann M, Maini R N

机构信息

Kennedy Institute of Rheumatology, London, U.K.

出版信息

Int J Immunopharmacol. 1995 Feb;17(2):141-5. doi: 10.1016/0192-0561(94)00092-3.

DOI:10.1016/0192-0561(94)00092-3
PMID:7544768
Abstract

Tumor necrosis factor alpha (TNF alpha) is a cytokine with many biological functions of relevance to inflammatory disease. Although only one of several inflammatory mediators produced in abundance in rheumatoid arthritis (RA), experimental data suggest that it is in a dominant position within a cytokine hierarchy and is therefore a prime target for directed immunotherapy in this disease. We have targeted TNF alpha in vivo using a chimerised monoclonal anti-TNF alpha antibody and have now demonstrated beneficial responses to treatment in three different clinical trials. The results confirm that TNF alpha is of central importance in the inflammatory process in RA and define a new treatment strategy in this disease.

摘要

肿瘤坏死因子α(TNFα)是一种具有许多与炎症性疾病相关生物学功能的细胞因子。虽然它只是类风湿关节炎(RA)中大量产生的几种炎症介质之一,但实验数据表明,它在细胞因子层级中处于主导地位,因此是该疾病定向免疫治疗的主要靶点。我们使用嵌合单克隆抗TNFα抗体在体内靶向TNFα,并且现已在三项不同的临床试验中证明了治疗产生的有益反应。结果证实TNFα在RA的炎症过程中至关重要,并确定了该疾病的一种新治疗策略。

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TNF alpha blockade in rheumatoid arthritis: rationale, clinical outcomes and mechanisms of action.类风湿关节炎中肿瘤坏死因子α阻断:理论依据、临床疗效及作用机制
Int J Immunopharmacol. 1995 Feb;17(2):141-5. doi: 10.1016/0192-0561(94)00092-3.
2
Anti-TNF alpha therapy of rheumatoid arthritis: what have we learned?类风湿关节炎的抗肿瘤坏死因子α治疗:我们学到了什么?
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Monoclonal anti-TNF alpha antibody as a probe of pathogenesis and therapy of rheumatoid disease.单克隆抗TNFα抗体作为类风湿性疾病发病机制及治疗的一种探针。
Immunol Rev. 1995 Apr;144:195-223. doi: 10.1111/j.1600-065x.1995.tb00070.x.
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[Monoclonal antibody therapy for rheumatoid arthritis].[类风湿关节炎的单克隆抗体疗法]
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Regulation of cytokines, cytokine inhibitors, and acute-phase proteins following anti-TNF-alpha therapy in rheumatoid arthritis.类风湿关节炎抗TNF-α治疗后细胞因子、细胞因子抑制剂及急性期蛋白的调节
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Targeting TNF alpha for the therapy of rheumatoid arthritis.以肿瘤坏死因子α为靶点治疗类风湿关节炎。
Clin Exp Rheumatol. 1994 Nov-Dec;12 Suppl 11:S63-6.
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Beneficial effects of tumour necrosis factor-alpha (TNF-alpha) blockade in rheumatoid arthritis (RA).肿瘤坏死因子-α(TNF-α)阻断剂在类风湿关节炎(RA)中的有益作用。
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TNF alpha is an effective therapeutic target for rheumatoid arthritis.
Ann N Y Acad Sci. 1995 Sep 7;766:272-8. doi: 10.1111/j.1749-6632.1995.tb26675.x.
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Development of anti-TNF therapy for rheumatoid arthritis.类风湿关节炎抗 TNF 治疗的发展
Nat Rev Immunol. 2002 May;2(5):364-71. doi: 10.1038/nri802.

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