Dupilumab: Mechanism of action, clinical, and translational science

IF 3.1 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Cts-Clinical and Translational Science Pub Date : 2024-07-30 DOI:10.1111/cts.13899
Marc R. McCann, Matthew P. Kosloski, Christine Xu, John D. Davis, Mohamed A. Kamal
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Abstract

Allergic disease prevalence has increased globally with the subset of type 2 inflammatory diseases playing a substantial role. Type 2 inflammatory diseases may differ in clinical presentation, but they exhibit shared pathophysiology that is targeted by the unique pharmacology of dupilumab. Dupilumab binds to the interleukin (IL)-4 receptor alpha subunit (IL-4Rα) that blocks IL-4 and IL-13 signaling, two key drivers of type 2 inflammation. Herein, we review the mechanism of action and pharmacology of dupilumab, and the clinical evidence that led to the regulatory approvals of dupilumab for the treatment of numerous type 2 inflammatory diseases: atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, and prurigo nodularis.

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杜匹单抗:作用机制、临床和转化科学。
过敏性疾病的发病率在全球范围内呈上升趋势,其中 2 型炎症性疾病的发病率居高不下。2 型炎症性疾病的临床表现可能各不相同,但它们表现出共同的病理生理学,而杜匹鲁单抗的独特药理学正是针对这些病理生理学的。杜匹鲁单抗与白细胞介素(IL)-4受体α亚基(IL-4Rα)结合,可阻断IL-4和IL-13信号传导,这是2型炎症的两个关键驱动因素。在此,我们回顾了杜比鲁单抗的作用机制和药理学,以及促使监管机构批准杜比鲁单抗用于治疗多种2型炎症疾病的临床证据:特应性皮炎、哮喘、慢性鼻窦炎伴鼻息肉、嗜酸性粒细胞性食管炎和结节性瘙痒症。
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来源期刊
Cts-Clinical and Translational Science
Cts-Clinical and Translational Science 医学-医学:研究与实验
CiteScore
6.70
自引率
2.60%
发文量
234
审稿时长
6-12 weeks
期刊介绍: Clinical and Translational Science (CTS), an official journal of the American Society for Clinical Pharmacology and Therapeutics, highlights original translational medicine research that helps bridge laboratory discoveries with the diagnosis and treatment of human disease. Translational medicine is a multi-faceted discipline with a focus on translational therapeutics. In a broad sense, translational medicine bridges across the discovery, development, regulation, and utilization spectrum. Research may appear as Full Articles, Brief Reports, Commentaries, Phase Forwards (clinical trials), Reviews, or Tutorials. CTS also includes invited didactic content that covers the connections between clinical pharmacology and translational medicine. Best-in-class methodologies and best practices are also welcomed as Tutorials. These additional features provide context for research articles and facilitate understanding for a wide array of individuals interested in clinical and translational science. CTS welcomes high quality, scientifically sound, original manuscripts focused on clinical pharmacology and translational science, including animal, in vitro, in silico, and clinical studies supporting the breadth of drug discovery, development, regulation and clinical use of both traditional drugs and innovative modalities.
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