[Tezepelumab: a new option for the treatment of severe asthma].

Valente Armando Maldonado-Ríos, Juan Camilo Ardila-Herrera, Luz María Galicia-Sánchez, Carlos Andrés Celis-Preciado
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Abstract

In Latin America, asthma is a public health problem with a significant impact on both patients and health systems. The greater understanding of the pathophysiology and the recognition of the central role that inflammation has in the severity of asthma has favored the development of monoclonal antibodies that have IL-5, IL-4, IL-13 and IgE as therapeutic targets. Although these therapeutic alternatives promote better control of the disease, not all patients respond favorably to these treatments. Therefore, it is of particular interest to explore monoclonal antibodies such as Tezepelumab, directed against thymic stromal lymphopoietin (TSLP), an alarmin (epithelial cytokine) that participates in the initiation and perpetuation of inflammation in Asthma. Therefore, in this review, we will show the clinical efficacy of tezepelumab in reducing the annual rate of exacerbations, improving lung function, and reducing bronchial hyperreactivity, regardless of the patient's baseline biomarker levels. Therefore, this new molecule is a highly effective therapeutic option for patients with severe asthma.

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[Tezepelumab:治疗严重哮喘的新选择]。
在拉丁美洲,哮喘是一个对患者和卫生系统都有重大影响的公共卫生问题。对病理生理学的更深入了解和对炎症在哮喘严重程度中的核心作用的认识,有利于以IL-5、IL-4、IL-13和IgE为治疗靶点的单克隆抗体的发展。虽然这些治疗方法可以更好地控制疾病,但并非所有患者都对这些治疗反应良好。因此,探索针对胸腺基质淋巴生成素(TSLP)的单克隆抗体(如Tezepelumab)是特别有趣的,TSLP是一种参与哮喘炎症起始和延续的警报蛋白(上皮细胞因子)。因此,在本综述中,无论患者的基线生物标志物水平如何,我们都将展示tezepelumab在降低年加重率、改善肺功能和降低支气管高反应性方面的临床疗效。因此,这种新分子对于严重哮喘患者是一种非常有效的治疗选择。
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