抗白细胞介素及相关受体单克隆抗体治疗自身免疫性疾病

S. Tavakolpour
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引用次数: 13

摘要

在美国,有近40种被批准的单克隆抗体(mABs)用于治疗不同的疾病。这些药物越来越多地用于不同的自身免疫性疾病,包括类风湿关节炎(RA)、哮喘、牛皮癣、系统性红斑狼疮(SLE)、特应性皮炎(AD)、多发性硬化症(MS)和1型糖尿病(T1D)。一些2期和3期研究报告了单克隆抗体治疗的临床改善。然而,一些不良事件(ae),如感染,注射部位反应经常被报道。除了批准的疾病外,标签外使用也导致了一些新的结果,这可能导致对其他疾病的药物审查。本文就以白细胞介素或其相关受体为靶点的单克隆抗体在自身免疫性疾病治疗中的作用进行综述。此外,还讨论了基于最少临床试验的单抗在市场上的批准状态、效率、安全性和可能的相关不良反应。
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Anti-interleukin and associated receptors monoclonal antibodies therapy in autoimmune diseases
There are nearly 40 approved monoclonal antibodies (mABs) in the U.S. for different diseases. These drugs are increasingly using in different autoimmune diseases, including rheumatoid arthritis (RA), asthma, psoriasis, systemic lupus erythematosus (SLE), atopic dermatitis (AD), multiple sclerosis (MS), and type 1 diabetes (T1D). Several phase 2 and 3 studies reported the clinical improvement due to treating with mABs. However, some adverse events (AEs) such as infections, injection-site reactions are frequently reported. In addition to approved diseases, off-label uses also led to some new results, which may cause reviewing the drug for other diseases. In this review, it was tried to discuss on the role of mABs that target interleukins or their associated receptors in treatment of autoimmune diseases. Moreover, approval statues, efficiency, safety and the possible associated AEs of the mABs on the market, based on the least clinical trials were also discussed.
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