Brodalumab: A new way to inhibit IL-17 in psoriasis

被引:31
作者
Facheris, Paola [1 ,2 ]
Valenti, Mario [1 ,2 ]
Pavia, Giulia [1 ,2 ]
Guanziroli, Elena [1 ]
Narcisi, Alessandra [1 ]
Borroni, Riccardo G. [1 ,2 ]
Costanzo, Antonio [1 ,2 ]
机构
[1] Humanitas Clin & Res Ctr IRCCS, Dermatol, Milan, Italy
[2] Humanitas Univ, Dept Biomed Sci, Milan, Italy
关键词
brodalumab; IL17-RA; psoriasis; SEVERE PLAQUE PSORIASIS; DOUBLE-BLIND; ANTI-INTERLEUKIN-17-RECEPTOR ANTIBODY; SUSCEPTIBILITY LOCI; ATOPIC-DERMATITIS; INTERLEUKIN; 17A; CELLS; PHARMACOKINETICS; PATHOGENESIS; SECUKINUMAB;
D O I
10.1111/dth.13403
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Psoriasis is a chronic inflammatory disease that affects 2% to 4% of the population; about 20% of the patients present a moderate-to-severe form. The IL-23/Th17/IL-17 molecular axis is considered crucial in the pathogenesis of psoriasis and IL-17 is fundamental in the maintenance of the immune and inflammatory alterations causing psoriasis. Expression of IL-17A, IL-17F, and IL-17C is strongly increased in psoriatic plaques. Effective therapy leads to restoration of the expression of a wide range of genes (including effector cytokines and chemokines downstream of IL-17) to near normal levels. Brodalumab is the first biologic drug targeting specifically the subunit A of the IL-17 receptor (IL-17RA) and thus inhibiting not only IL-17A but also other members of the IL-17 family. Brodalumab is very effective and safe in treating moderate-to severe psoriasis.
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页数:9
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