[生物制剂在食物过敏患者中的应用]。

Ana María Agar Muñoz, César Alberto Galván Calle
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引用次数: 0

摘要

尽管针对食物过敏的口服免疫疗法取得了令人鼓舞的进展,但医疗实施仍面临着种种限制。目前正在研究基于抑制 2 型炎症途径的非特异性治疗方案,包括单克隆抗体。TNX-901 和奥马珠单抗已证明可提高反应阈值,减少花生过敏患者的不良反应。阻断 IL-4 受体的 Dupilumab 对食物过敏和嗜酸性粒细胞食管炎都有积极效果。针对alarmins和抗IL-5的抗体,如etokimab和mepolizumab,已在临床前研究和临床试验中证明了疗效。虽然还需要进一步的研究来确定它们的实际临床用途,并确定它们是否适用于不同类型的食物过敏,但这些单克隆抗体为治疗这类疾病开辟了前景广阔的道路。
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[Application of biologicals in patients with food allergies].

Despite promising advancements in oral immunotherapy for food allergies, medical implementation faces limitations. Non-specific treatment options based on inhibiting the type 2 inflammatory pathway, including monoclonal antibodies, are under investigation. TNX-901 and omalizumab have demonstrated increased reaction thresholds, reducing adverse events in peanut-allergic patients. Dupilumab, blocking the IL-4 receptor, shows positive results in both food allergies and eosinophilic esophagitis. Antibodies against alarmins and anti-IL-5, such as etokimab and mepolizumab, have proven efficacy in preclinical studies and clinical trials. While further studies are needed to establish their practical clinical use and determine suitability for different types of food allergies, these monoclonal antibodies present a promising horizon for the treatment of such conditions.

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