Therapeutic potential of TNFα inhibitors in chronic inflammatory disorders: Past and future.

Therapeutic potential of TNFα inhibitors in chronic inflammatory disorders: Past and future.
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TNFα抑制剂在慢性炎症性疾病中的治疗潜力:过去和未来。

DOI:
10.1016/j.gendis.2020.02.004
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发表时间:
2021-01
期刊:
影响因子:
6.8
通讯作者:
Zhang Y
Zhang Y
中科院分区:
医学2区
文献类型:
--
作者:
Zhang H;Shi N;Diao Z;Chen Y;Zhang Y

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在过去的20年里,随着生物肿瘤坏死因子α抑制剂的出现,类风湿性关节炎(RA)、克罗恩病(CD)和其他免疫性疾病的患者见证了治疗的巨大进步。随着5种批准的抗肿瘤坏死因子α生物制品上市,以及即将推出的生物仿制药,患者有了更多的治疗选择,并从了解肿瘤坏死因子α的生物学中受益。然而,对于患有肿瘤坏死因子α相关疾病的患者来说,仍有许多未得到满足的需求,即现有抗肿瘤坏死因子α生物制品的一些副作用和耐受性以及对治疗的抵抗力。此外,常见的疾病,如骨关节炎和背部/颈部疼痛,可能会在症状出现时对抗肿瘤坏死因子α治疗产生反应。迫切需要开发新的肿瘤坏死因子受体α特异性抑制剂,最好是可以口服的小分子。
In the past 20 years, patients with rheumatoid arthritis (RA), Crohn's disease (CD), and other immune diseases have witnessed the impact of a great treatment advance with the availability of biological TNFα inhibitors. With 5 approved anti-TNFα biologics on the market and soon available biosimilars, patients have more treatment options and have benefited from understanding the biology of TNFα. Nevertheless, many unmet needs remain for people living with TNFα-related diseases, namely some side effects and tolerance of current anti-TNFα biologics and resistance to therapies. Furthermore, common diseases such as osteoarthritis and back/neck pain may respond to anti-TNFα therapies at early onset of symptoms. Development of new TNFα inhibitors focusing on TNFR1 specific inhibitors, preferably small molecules that can be delivered orally, is much needed.
Golimumab是一种通过每月皮下注射给予的肿瘤坏死因子{alpha}的人类抗体,尽管甲氨蝶呤疗法是活跃的类风湿关节炎:Go-Fornward研究。
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