在皮病患者中,在用secukinumab抑制IL-17A期间,下丘脑垂体上腺轴激素的变化
F Krefting1, S Hölsken2, W Sondermann1
1Department of Dermatology, Venereology and Allergology, University Hospital Essen, University Duisburg-Essen, Hufelandstr. 55, 45122 Essen, Germany.
Clinical immunology (Orlando, Fla.)
|October 20, 2025
概括
治疗牛皮的secukinumab激活下丘脑垂体上腺 (HPA) 轴,增加皮质醇水平. 对HPA轴的这种影响无论剂量如何都被观察到,并且与牛皮的严重程度无关.
科学领域:
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
背景情况:
- 塞库金努马布是一种已批准的生物治疗牛皮的药物.
- 它对下丘脑垂体上腺 (HPA) 轴的影响尚不清楚.
研究的目的:
- 为了研究secuquinumab在患有牛皮的患者中对HPA轴的影响.
- 评估治疗期间荷尔蒙水平的变化和感知到的压力.
主要方法:
- 一项为期16周的随机对照试验,涉及105名接受secukinumab (300毫克或75毫克) 治疗的牛皮患者.
- 测量包括IL-17A的血水平,皮质醇,上腺皮质激素,益生菌素,脱水氨和感知压力 (PSS-10).
- 牛皮的严重程度使用牛皮区域和严重程度指数 (PASI) 进行评估.
主要成果:
- 塞库金纽马布治疗导致IL-17A和皮质醇水平显著增加,这表明HPA轴激活.
- 皮质醇水平增加约33%,剂量组之间没有显著差异.
- 皮质醇的变化与PASI分数无关,但感知到的压力与皮质醇水平有复杂的关系.
结论:
- 对牛皮的secukinumab治疗与HPA轴的激活有关.
- 需要进一步的研究来阐明这种HPA轴激活的持续时间,机制和临床意义.
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