Teprotumumab in Thyroid-Associated Ophthalmopathy: Rationale for Therapeutic Insulin-Like Growth Factor-I Receptor Inhibition

被引:6
作者
Smith, Terry J. [1 ,2 ]
机构
[1] Univ Michigan, Kellogg Eye Ctr, Dept Ophthalmol & Visual Sci, Sch Med, Brehm Tower,1000 Wall St, Ann Arbor, MI 48105 USA
[2] Univ Michigan, Sch Med, Dept Internal Med, Div Metab Endocrinol & Diabet, Ann Arbor, MI USA
基金
美国国家卫生研究院;
关键词
HUMAN ORBITAL FIBROBLASTS; CULTURED HUMAN-FIBROBLASTS; SEVERE GRAVES ORBITOPATHY; THYROTROPIN-RECEPTOR; CIRCULATING FIBROCYTES; HYALURONAN SYNTHESIS; STIMULATING IMMUNOGLOBULINS; MONOCLONAL-ANTIBODY; IGF-1; RECEPTOR; DISEASE INDUCE;
D O I
10.1097/WNO.0000000000000890
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Thyroid-associated ophthalmopathy (TAO) is an autoimmune component of Graves' disease for which no currently available medical therapy provides reliable and safe benefit. Based on insights generated experimentally over the past several decades, the insulin-like growth factor-I receptor (IGF-IR) has been implicated in the pathogenesis of TAO. Furthermore, an IGF-IR inhibitor, teprotumumab, has emerged from 2 clinical trials as a promising treatment for active, moderate to severe TAO. This brief review intends to provide an overview of the rationale underlying the development of teprotumumab for this disease. It is possible that teprotumumab will soon take its place in our therapeutic armamentarium for active TAO.
引用
收藏
页码:74 / 83
页数:10
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