Anti-IgE therapy for IgE-mediated allergic diseases: from neutralizing IgE antibodies to eliminating IgE(+) B cells.

Anti-IgE therapy for IgE-mediated allergic diseases: from neutralizing IgE antibodies to eliminating IgE(+) B cells.
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针对 IgE 介导的过敏性疾病的抗 IgE 疗法:从中和 IgE 抗体到消除 IgE( ) B 细胞

DOI:
10.1186/s13601-018-0213-z
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发表时间:
2018
影响因子:
4.4
通讯作者:
Ji K
Ji K
中科院分区:
医学2区
文献类型:
--
作者:
Hu J;Chen J;Ye L;Cai Z;Sun J;Ji K

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变应性疾病是涉及许多类型的细胞和因子的炎性病症,包括过敏原、免疫球蛋白(IG)E、肥大细胞、嗜碱性粒细胞、细胞因子和可溶性介质。其中,IgE在急性过敏反应和慢性炎性过敏性疾病的发展中起着至关重要的作用,使得其控制在IgE介导的过敏性疾病的治疗中尤为重要。本文综述了IgE靶向治疗发展的现状,重点介绍了三个转化研究领域:血液中的IgE中和; IgE效应细胞消除;和IgE+ B细胞减少。考虑到IgE在疾病进展中的有害作用,IgE靶向药物如FDA批准的药物Xolair(Omalizumab)代表了治疗IgE介导的过敏性疾病的有希望的途径。此外,IgE介导的过敏性疾病的靶向治疗可以通过细胞治疗来推进,包括效应细胞的修饰。
Allergic diseases are inflammatory disorders that involve many types of cells and factors, including allergens, immunoglobulin (Ig)E, mast cells, basophils, cytokines and soluble mediators. Among them, IgE plays a vital role in the development of acute allergic reactions and chronic inflammatory allergic diseases, making its control particularly important in the treatment of IgE-mediated allergic diseases. This review provides an overview of the current state of IgE targeted therapy development, focusing on three areas of translational research: IgE neutralization in blood; IgE-effector cell elimination; and IgE+ B cell reduction. IgE-targeted medicines such as FDA approved drug Xolair (Omalizumab) represent a promising avenue for treating IgE-mediated allergic diseases given the pernicious role of IgE in disease progression. Additionally, targeted therapy for IgE-mediated allergic diseases may be advanced through cellular treatments, including the modification of effector cells.
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