[治疗炎症性、自身免疫性和肿瘤性皮肤病的单克隆抗体]。

Dermatologie (Heidelberg, Germany) Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI:10.1007/s00105-024-05413-9
Maria Kinberger, Gabor Dobos, Farzan Solimani
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引用次数: 0

摘要

1997 年,针对 B 细胞上表达的 CD20 的基因工程嵌合单克隆抗体(mAb)利妥昔单抗被批准用于治疗非霍奇金淋巴瘤。此后,随着药理学的改进以及对疾病免疫发病机制认识的加深,针对不同抗原(如白细胞介素或跨膜受体)的特异性 mAb 相继问世。这种方法重塑了许多领域的治疗方法,包括皮肤病学。如今,治疗牛皮癣、特应性皮炎或化脓疱性皮炎等常见的、可能造成损害的炎症性疾病,已有不同的 mAbs 获准用于成人和儿童患者。与常规免疫抑制剂(如类固醇和类固醇替代物质)相比,这类药物通常显示出更佳的疗效和安全性。多年来,mAbs 还是治疗恶性黑色素瘤或梅克尔细胞癌等严重疾病的肿瘤治疗支柱。本综述总结了目前在治疗炎症性和肿瘤性皮肤病方面已获批和有前景的新型 mAbs 的知识。
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[Monoclonal antibodies for inflammatory, autoimmune and oncological skin diseases].

In 1997 rituximab, a genetically engineered chimeric monoclonal antibody (mAb) targeting CD20 expressed on B cells was approved for treatment of non-Hodgkin's lymphoma. Since then, pharmacological improvements combined with increased knowledge on the immunopathogenesis of diseases led to the development of specific mAb targeting different antigens (e.g., interleukins or transmembrane receptors). This approach reshaped the therapeutic methodology in many fields, including dermatology. Nowadays, the treatment of frequent and possibly impairing inflammatory disorders such as psoriasis, atopic dermatitis or hidradenitis suppurativa have different mAbs approved for both adult and pediatric patients. This class of drugs often shows a more favorable outcome and a better safety profile than routine immunosuppressants, such as steroids and steroid-sparing substances. For many years mAbs also represented a pillar of oncological treatment for severe diseases such as malignant melanoma or Merkel cell carcinoma. This review summarizes the current knowledge on already approved and promising new mAbs for the treatment of inflammatory and oncological skin diseases.

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