牛皮的生物免疫疗法与发生炎症性关节炎的时间之间的关联:一个回顾性队列研究
Shikha Singla1, Michael Putman1, Jean Liew2
1Department of Rheumatology, Medical College of Wisconsin, Milwaukee, WI, USA.
The Lancet. Rheumatology
|January 22, 2024
概括
与TNF抑制剂相比,牛皮的生物疗法,特别是IL-12/23和IL-23抑制剂,显著降低了患炎症性关节炎的风险. 这一发现凸显了牛皮患者的潜在益处.
科学领域:
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
- 类风湿病学 类风湿病学
背景情况:
- 牛皮的治疗方法,包括向的生物免疫疗法,对皮肤疾病有效.
- 这些疗法对延缓炎症性关节炎进展的影响尚不清楚.
研究的目的:
- 为了比较炎症性关节炎的发病率在新开的不同类型的牛皮生物疗法患者.
主要方法:
- 使用美国电子健康记录 (TriNetX网络) 的回顾性队列研究.
- 包括患有牛皮的成年患者新处方TNF,IL-17,IL-23或IL-12/23抑制剂.
- 使用Kaplan-Meier估计和加权的Cox比例危险回归来分析发生炎症性关节炎的时间.
主要成果:
- 在15501名患者中,976名 (6.3%) 患有炎症性关节炎.
- 与TNF抑制剂相比,IL-12/23抑制剂 (aHR 0.58) 和IL-23抑制剂 (aHR 0.41) 与炎症性关节炎的风险明显降低.
- 在IL-17抑制剂 (aHR 0.86) 与TNF抑制剂之间没有发现显著差异.
结论:
- 与TNF抑制剂相比,使用IL-12/23或IL-23抑制剂的治疗可能会降低牛皮患者患炎症性关节炎的风险.
- 需要进一步的前性研究来证实这些发现,包括疾病活性测量.
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