Terapia biológica en el lupus eritematoso sistémico. ¿Hay vida más allá del linfocito B?

Teresa Otón, Mónica Fernández Castro, Lucía Silva Fernández, José Luis Andreu
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引用次数: 5

Abstract

Current treatment options for systemic lupus erythematosus (SLE) fail to control all the manifestations of the disease or fully prevent flares. The most extensively studied biological therapies are directed against B cells, although other biological targets have also been explored. Biological agents against tumor necrosis factor-alfa differ in their efficacy and have been associated with the generation of antinuclear and anti-dsDNA antibodies. Anti-interleukin-10 and anti-interleukin-6 agents have also been studied, with encouraging results. Abatacept, which has been approved in rheumatoid arthritis, has not shown efficacy in placebo-controlled clinical trials.

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系统性红斑狼疮的生物治疗。B淋巴细胞之外还有生命吗?
目前系统性红斑狼疮(SLE)的治疗方案不能控制疾病的所有表现或完全预防耀斑。研究最广泛的生物疗法是针对B细胞的,尽管其他生物靶点也已被探索。生物制剂对肿瘤坏死因子- α的疗效不同,并与抗核和抗dsdna抗体的产生有关。抗白介素-10和抗白介素-6药物也进行了研究,取得了令人鼓舞的结果。Abatacept已被批准用于治疗类风湿性关节炎,但在安慰剂对照的临床试验中并未显示出疗效。
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