类风湿性关节炎的药物治疗选择:关注Tocilizumab,一种重组人源化抗白细胞介素-6受体抗体

Y. Ohsugi, T. Kishimoto
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引用次数: 3

摘要

越来越多的证据表明,促炎细胞因子在RA的发病过程中起着至关重要的作用。最近的临床研究表明,利用重组人源化抗白介素-6受体抗体tocilizumab阻断IL-6信号是治疗常规DMARD治疗和抗tnf -α治疗难治性RA患者的新治疗选择。本文讨论了可能的作用机制,回顾了临床试验的结果,并讨论了tocilizumab在RA治疗中的地位。
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Pharmacotherapy Options in Rheumatoid Arthritis: Focus on Tocilizumab, a Recombinant Humanized Anti-Interleukin-6 Receptor Antibody
Evidence has accumulated indicating that proinflammatory cytokines play critical roles in the pathogenesis of RA. Recent clinical studies demonstrate that blockade of IL-6 signaling with tocilizumab, a recombinant humanized anti-interleukin-6 receptor antibody, is a new therapeutic option for the treatment of patients with RA refractory to conventional DMARD therapy and anti-TNF-α therapy. This paper discusses possible mechanisms of action, reviews the results of clinical trials, and discusses the place of tocilizumab in RA treatment.
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