Wendling D
Service de rhumatologie, hôpital J-Minjoz, CHU, Besançon, France.
Rev Med Interne. 1993;14(7):705-14. doi: 10.1016/s0248-8663(05)81236-6.
Monoclonal antibodies allow to foresee selective immunotherapy in rheumatoid arthritis (RA). Several molecules implicated in the immunopathogenesis of the disease represent the targets (antigens) of monoclonal antibodies already used in man: T cell antigens, T cell activation antigens, adhesion molecules, cytokines. The first open studies gave promising results. However complementary investigations are requested to confirm the clinical efficacy and to precise the real place of these biologic agents in the strategy of treatment of RA or auto-immune diseases.
单克隆抗体使类风湿关节炎(RA)的选择性免疫治疗成为可能。该疾病免疫发病机制中涉及的几种分子是已在人体中使用的单克隆抗体的靶点(抗原):T细胞抗原、T细胞活化抗原、黏附分子、细胞因子。首批开放研究取得了令人鼓舞的结果。然而,需要进行补充研究以证实其临床疗效,并明确这些生物制剂在类风湿关节炎或自身免疫性疾病治疗策略中的实际地位。