Biomaterial-based immunotherapeutic strategies for rheumatoid arthritis.

Biomaterial-based immunotherapeutic strategies for rheumatoid arthritis.
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基于生物材料的类风湿性关节炎免疫治疗策略

DOI:
10.1007/s13346-021-01038-w
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发表时间:
2021-12
影响因子:
5.4
通讯作者:
Lewis JS
Lewis JS
中科院分区:
医学2区
文献类型:
--
作者:
Tu AB;Lewis JS

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类风湿关节炎(RA)是一种极其痛苦的自身免疫性疾病,其特征是慢性关节炎症导致邻近软骨和骨的侵蚀。类风湿性关节炎的病理主要是由关节滑膜内免疫细胞的不适当渗透和激活所致。类风湿性关节炎是无法治愈的。因此,症状的表现需要通过各种治疗方法进行终身管理,这些治疗方法通常旨在抑制免疫系统或阻碍免疫介质的功能。然而,这些治疗策略会导致不良反应,如毒性、全身免疫抑制和增加感染风险。在追求更安全和更有效的治疗方法的过程中,许多新兴的基于生物材料的策略正在被开发出来,以改善有效载荷传递、特异性靶向和剂量效应,并减少不良反应和毒性。在这篇综述中,我们重点介绍了目前正在研究中的基于生物材料的方法,以绕过传统RA治疗的局限性。
Rheumatoid arthritis (RA) is an extremely painful autoimmune disease characterized by chronic joint inflammation leading to the erosion of adjacent cartilage and bone. Rheumatoid arthritis pathology is primarily driven by inappropriate infiltration and activation of immune cells within the synovium of the joint. There is no cure for RA. As such, manifestation of symptoms entails lifelong management via various therapies that aim to generally dampen the immune system or impede the function of immune mediators. However, these treatment strategies lead to adverse effects such as toxicity, general immunosuppression, and increased risk of infection. In pursuit of safer and more efficacious therapies, many emerging biomaterial-based strategies are being developed to improve payload delivery, specific targeting, and dose efficacy, and to mitigate adverse reactions and toxicity. In this review, we highlight biomaterial-based approaches that are currently under investigation to circumvent the limitations of conventional RA treatments.
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