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Current State of Monoclonal Antibody Therapy for Allergic Diseases
Engineering ( IF 10.1 ) Pub Date : 2021-05-27 , DOI: 10.1016/j.eng.2020.06.029
Yan Chen , Wei Wang , Huihui Yuan , Yan Li , Zhe Lv , Ye Cui , Jie Liu , Sun Ying

Allergic disease is one of the most common chronic diseases, which can affect both children and adults, be often caused by allergen-induced unfavorable immune responses, and initiate various symptoms in different organs, including up-/low-airways and skin, such as asthma, atopic dermatitis, and rhinosinusitis. With increasing prevalence of allergic disease worldwide and their impact on the quality of life, new biological therapeutic approaches for these disorders become hot areas of intensive research. Multiple factors are involved and play important role in the pathogenesis of allergic disease, which can promote or trigger T helper 2 (Th2)-type immune responses, leading to production of the type 2 cytokines and immunoglobulin E (IgE),the two critical events in the allergic diseases. Using monoclonal antibodies to target these molecules, therefore, might provide possible benefits for the patients suffered from these diseases. Apart of those having approved biologics for allergic diseases, some potential targets such as epithelial-derived alarmins thymic stromal lymphopoietin (TSLP) and interleukin 33 (IL-33) have been also described and proposed to develop monoclonal antibodies against either these cytokines, their receptors, or both. These new and potential targets have substantially enriched the therapeutic opportunities in the field of allergic diseases. The present review aims to briefly outline the role of monoclonal antibodies targeting the cytokines and immunoglobulin involved in the development of allergic diseases, and to discuss the clinical effects of these antibodies.



中文翻译:

过敏性疾病的单克隆抗体治疗现状

过敏性疾病是最常见的慢性疾病之一,可影响儿童和成人,通常由过敏原引起的不利免疫反应引起,并在不同器官(包括上/下呼吸道和皮肤)中引发各种症状,例如哮喘、特应性皮炎和鼻窦炎。随着全球过敏性疾病的流行及其对生活质量的影响,这些疾病的新生物治疗方法成为深入研究的热点领域。过敏性疾病的发病机制涉及多种因素并起重要作用,可促进或触发 T 辅助 2 (Th2) 型免疫反应,导致 2 型细胞因子和免疫球蛋白 E (IgE) 的产生,这两个关键事件在过敏性疾病中。因此,使用单克隆抗体靶向这些分子,可能为患有这些疾病的患者提供可能的益处。除了那些已批准用于过敏性疾病的生物制剂外,还描述了一些潜在的靶标,例如上皮衍生的警报素胸腺基质淋巴细胞生成素 (TSLP) 和白细胞介素 33 (IL-33),并提议开发针对这些细胞因子及其受体的单克隆抗体, 或两者。这些新的潜在靶点极大地丰富了过敏性疾病领域的治疗机会。本综述旨在简要概述针对参与过敏性疾病发展的细胞因子和免疫球蛋白的单克隆抗体的作用,并讨论这些抗体的临床效果。除了那些已批准用于过敏性疾病的生物制剂外,还描述了一些潜在的靶标,例如上皮衍生的警报素胸腺基质淋巴细胞生成素 (TSLP) 和白细胞介素 33 (IL-33),并提议开发针对这些细胞因子及其受体的单克隆抗体, 或两者。这些新的潜在靶点极大地丰富了过敏性疾病领域的治疗机会。本综述旨在简要概述针对参与过敏性疾病发展的细胞因子和免疫球蛋白的单克隆抗体的作用,并讨论这些抗体的临床效果。除了那些已批准用于过敏性疾病的生物制剂外,还描述了一些潜在的靶标,例如上皮衍生的警报素胸腺基质淋巴细胞生成素 (TSLP) 和白细胞介素 33 (IL-33),并提议开发针对这些细胞因子及其受体的单克隆抗体, 或两者。这些新的潜在靶点极大地丰富了过敏性疾病领域的治疗机会。本综述旨在简要概述针对参与过敏性疾病发展的细胞因子和免疫球蛋白的单克隆抗体的作用,并讨论这些抗体的临床效果。一些潜在的靶标,如上皮衍生的警报素胸腺基质淋巴细胞生成素 (TSLP) 和白细胞介素 33 (IL-33) 也已被描述并提议开发针对这些细胞因子、它们的受体或两者的单克隆抗体。这些新的潜在靶点极大地丰富了过敏性疾病领域的治疗机会。本综述旨在简要概述针对参与过敏性疾病发展的细胞因子和免疫球蛋白的单克隆抗体的作用,并讨论这些抗体的临床效果。一些潜在的靶标,如上皮衍生的警报素胸腺基质淋巴细胞生成素 (TSLP) 和白细胞介素 33 (IL-33) 也已被描述并提议开发针对这些细胞因子、它们的受体或两者的单克隆抗体。这些新的潜在靶点极大地丰富了过敏性疾病领域的治疗机会。本综述旨在简要概述针对参与过敏性疾病发展的细胞因子和免疫球蛋白的单克隆抗体的作用,并讨论这些抗体的临床效果。

更新日期:2021-05-27
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