针对狼性炎的向治疗:当前的前景和未来的方向
Xiuzhi Jia1,2, Yuewen Lu1,2, Xunhua Zheng1,2
1Department of Nephrology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510080, China.
Chinese medical journal
|December 7, 2023
概括
向疗法为狼性炎 (LN) 提供了新的希望,这是严重的脏疾病. 本综述探讨了与传统免疫抑制剂相比,提高特异性并减少副作用的新型治疗方法.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 免疫学 免疫学 免疫学
- 类风湿病学 类风湿病学
背景情况:
- 狼性炎 (LN) 是系统性红斑狼的严重并发症,经常导致末期病和增加死亡率.
- 目前的治疗方法,包括葡萄糖皮质类药物和mycophenolate mofetil,具有诸如非特定向,不良反应和高复发率等局限性.
- 迫切需要更有针对性的治疗策略来改善LN患者的治疗结果.
研究的目的:
- 审查针对狼性炎的向治疗的现有证据.
- 阐明反应和治疗失败的机制.
- 概述未来临床试验和综合免疫调节方法的策略.
主要方法:
- 关于狼炎病原和向治疗的当前科学文献的综述.
- 对治疗反应和失败背后的生物机制的分析.
- 综合数据,提出未来的研究和临床试验设计.
主要成果:
- 与传统免疫抑制剂相比,新型治疗点和药物 (生物制剂,小分子) 的特异性提高,毒性降低.
- 对LN病原体的理解有所进步,使得治疗策略更加精确.
- 在优化治疗疗效和最大限度地减少长期不良影响方面仍然存在挑战.
结论:
- 了解LN病原学的进步正在推动针对性治疗的发展.
- 这些新的药物为治疗狼性炎提供了提高的特异性和降低的毒性.
- 未来的研究应该集中在临床试验和综合方法上,以优化LN治疗.
更多相关视频
相关概念视频
Targeted Cancer Therapies
7.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.6K
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
436
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
436
Inflammatory Bowel Disease IV: Pharmacological Management
130
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
130
Antihypertensive Drugs: Direct Renin Inhibitors
637
The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
637
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF
143
Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
143


