Targeted Molecular Therapies in Allergy and Rhinology

被引:21
作者
Damask, Cecelia C. [1 ]
Ryan, Matthew W. [2 ]
Casale, Thomas B. [3 ]
Castro, Mario [4 ]
Franzese, Christine B. [5 ]
Lee, Stella E. [6 ]
Levy, Joshua M. [7 ]
Lin, Sandra Y. [8 ]
Lio, Peter A. [9 ]
Peters, Anju T. [9 ]
Platt, Michael P. [10 ]
White, Andrew A. [11 ]
机构
[1] Univ Cent Florida, 795 Primera Blvd,Ste 1031, Lake Mary, FL 32746 USA
[2] UT Southwestern Med Ctr, Dallas, TX USA
[3] Univ S Florida, Tampa, FL 33620 USA
[4] Univ Kansas, Med Ctr, Kansas City, KS 66103 USA
[5] Univ Missouri, Med Ctr, Columbia, MO USA
[6] Univ Pittsburgh, Pittsburgh, PA USA
[7] Emory Med, Atlanta, GA USA
[8] Johns Hopkins Med, Baltimore, MD USA
[9] Northwestern Med, Chicago, IL USA
[10] Boston Med Ctr, Boston, MA USA
[11] Scripps Clin, La Jolla, CA 92037 USA
关键词
biologics; biologic agent; anti-IgE; anti-IL-5; anti-IL-4; anti-IL-13; anti-TSLP; omalizumab; mepolizumab; reslizumab; benralizumab; dupilumab; tezepelumab; T2; inflammation; asthma; allergic asthma; eosinophilic asthma; chronic rhinosinusitis with nasal polyposis; atopic dermatitis; chronic spontaneous urticaria; eosinophilic granulomatosis with polyangiitis; aspirin-exacerbated respiratory disease; eosinophilia; unified airway;
D O I
10.1177/0194599820965233
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Biologic agents, monoclonal antibodies that target highly-specific molecular pathways of inflammation, are becoming integrated into care pathways for multiple disorders that are relevant in otolaryngology and allergy. These conditions share common inflammatory mechanisms of so-called Type 2 inflammation with dysregulation of immunoglobulin E production and eosinophil and mast cell degranulation leading to tissue damage. Biologic agents are now available for the treatment of chronic rhinosinusitis with nasal polyps (CRSwNP), asthma, eosinophilic granulomatosis with polyangiitis (EGPA), atopic dermatitis (AD), and chronic spontaneous urticaria (CSU). This paper summarizes the diagnosis and management of these conditions and critically reviews the clinical trial data that has led to regulatory approval of biologic agents for these conditions.
引用
收藏
页码:S1 / S21
页数:21
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