Immunotherapy in psoriasis

被引:9
作者
Landeck, Lilla [1 ]
Sabat, Robert [2 ]
Ghoreschi, Kamran [3 ]
Man, Xiao-Yong [4 ]
Fuhrmeister, Katja
Gonzalez-Martinez, Ernesto [5 ]
Asadullah, Khusru [3 ]
机构
[1] Ernst von Bergmann Gen Hosp, Dept Dermatol, D-14467 Potsdam, Germany
[2] Charite Univ Med Berlin, Psoriasis Res & Treatment Ctr, Berlin, Germany
[3] Charite Univ Med Berlin, Dept Dermatol Venereol & Allergol, Berlin, Germany
[4] Zhejiang Univ, Affiliated Hosp 2, Sch Med, Dept Dermatol & Venereol, Hangzhou, Zhejiang, Peoples R China
[5] Massachusetts Gen Hosp, Dept Dermatol, Boston, MA 02114 USA
关键词
biologicals; COVID-19; cytokines; drug selection; drug targets; immunomodulation; individualized therapy; interleukins; pharmacology; skin inflammation; QUALITY-OF-LIFE; DIFFERENTIAL DRUG SURVIVAL; TUMOR-NECROSIS-FACTOR; OBSERVATIONAL COHORT; BRITISH ASSOCIATION; BIOLOGIC THERAPIES; SKIN; CYTOKINE; IL-22; RISK;
D O I
10.2217/imt-2020-0292
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Over the past two decades, a huge progress in the treatment of psoriasis was achieved by targeting the human cytokine network. At present, 11 biologicals - antibodies, and a soluble receptor - are used to neutralize key inflammatory cytokines. Based on their targets, they can be grouped into the following four classes: TNF-alpha-, IL-12/23-, IL-17- and IL-23-inhibitors. The number of substances, but also the different modes of action may be challenging, when selecting the right drug for an individual patient. In this article, we provide an overview of the available biologicals in the treatment of psoriasis, including their advantages and limitations, and summarize criteria for therapy selection.
引用
收藏
页码:605 / 620
页数:16
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