Targetable pathogenic mechanisms in nasal polyposis.

Targetable pathogenic mechanisms in nasal polyposis.
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DOI:
10.1002/alr.22787
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发表时间:
2021-08
影响因子:
6.4
通讯作者:
Tan BK
Tan BK
中科院分区:
医学1区
文献类型:
--
作者:
Schneider AL;Schleimer RP;Tan BK

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慢性鼻窦炎伴鼻息肉(CRSwNP)是一种具有挑战性的疾病实体,在适当的药物和手术治疗后复发率显著。最近批准的CRSwNP靶向生物制剂促使人们对潜在疾病的病理生理学有了更深的了解。这两种获批的CRSwNP生物制剂均可调节2型炎症通路,而且临床试验途径中的大多数药物都具有类似的靶向性。然而,仍有多种与CRSwNP相关的其他致病机制,在其他炎症性疾病中已经存在靶向治疗方法,但尚未直接研究。在本文中,我们总结了CRSwNP的致病机制,并讨论了CRSwNP和其他相关人类炎症疾病的靶向治疗的临床研究结果。
Chronic rhinosinusitis with nasal polyps (CRSwNP) represents a challenging disease entity with significant rates of recurrence following appropriate medical and surgical therapy. Recent approval of targeted biologics in CRSwNP compels deeper understanding of underlying disease pathophysiology. Both of the approved biologics for CRSwNP modulate the Type 2 inflammatory pathway, and the majority of drugs in the clinical trials pathway are similarly targeted. However, there remain multiple other pathogenic mechanisms relevant to CRSwNP for which targeted therapeutics already exist in other inflammatory diseases that have not been studied directly. In this article we summarize pathogenic mechanisms of interest in CRSwNP and discuss the results of ongoing clinical studies of targeted therapeutics in CRSwNP and other related human inflammatory diseases.
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