1.中山大学附属第三医院变态反应(过敏)科,广东 广州 510630
2.中山大学附属第三医院皮肤科,广东 广州 510630
[ "冯佩英,主任医师,博士生导师,中山大学附属第三医院变态反应科副主任。中国菌物学会医学真菌专业委员会委员兼秘书;世界华人医师协会皮肤科医师协会委员;广东省医师协会变态反应工作委员会青年医师专业学组组长;广东省中华医学会皮肤分会真菌组副组长。JAAD中文版青年编委。主持国家自然青年科学基金、广东省自然科学基金、中山大学青年教师基金各1项。在国内外核心学术期刊发表学术论文70余篇,其中第一/通讯作者文章30多篇,SCI文章18篇。副主编出版《常见真菌感染新疾病直接镜检图谱》《简明皮肤性病学教学图谱》。研究方向为真菌生物多样性与临床研究、真菌感染与变态反应性疾病。E-mail:fengpy@mail.sysu.edu.cn。" ]
纸质出版日期:2022-01-20,
收稿日期:2021-08-16,
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冯佩英.生物制剂治疗特应性皮炎和特应性共病的研究进展[J].中山大学学报(医学科学版),2022,43(01):1-9.
FENG Pei-ying.Biological Agents in the Treatment of Atopic Dermatitis and Atopic Comorbidities: A Review and Update[J].Journal of Sun Yat-sen University(Medical Sciences),2022,43(01):1-9.
冯佩英.生物制剂治疗特应性皮炎和特应性共病的研究进展[J].中山大学学报(医学科学版),2022,43(01):1-9. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2022.0101.
FENG Pei-ying.Biological Agents in the Treatment of Atopic Dermatitis and Atopic Comorbidities: A Review and Update[J].Journal of Sun Yat-sen University(Medical Sciences),2022,43(01):1-9. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2022.0101.
特应性皮炎是一种慢性复发性、瘙痒性、炎症性皮肤病,其临床表现多样,常合并食物过敏、变应性鼻炎、变应性哮喘、变应性结膜炎等其他特应性共病,严重影响患者的生活质量。特应性皮炎的发病与遗传因素、皮肤屏障功能障碍、环境因素和免疫异常等有关。由于特应性皮炎及特应性共病之间可能存在共同的致病途径,生物制剂可以通过改变全身炎症状态而对其共病产生影响。本文旨在回顾特应性皮炎及特应性共病发病机制的基础上,对生物制剂治疗特应性皮炎及特应性共病的应用进展进行综述。
Atopic dermatitis (AD) is the most common chronic inflammatory skin disease characterized by relapsing pruritic eczema-like lesion and induced by genetic predisposition, epidermal barrier disruption and dysregulation of the immune system. AD is a complex and systemic disorder associated with a variety of clinical features. Patients with AD are at risk of developing atopic comorbidities, such as food allergy, allergic rhinitis, asthma and allergic conjunctivitis etc. AD and its comorbidities may share a common pathogenic pathway, so biological agents designed to inhibit specific molecular targets of immune responses can have an impact on comorbidities by changing inflammatory state. This review summarizes the research progress of the biotherapy in the treatment of AD and atopic comorbidities.
特应性皮炎过敏进程特应性共病生物制剂
atopic dermatitisatopic marchatopic comorbiditiesbiological agents
Guo Y, Li P, Tang J, et al. Prevalence of atopic dermatitis in Chinese children aged 1-7 ys[J]. Sci Rep, 2016, 6: 29751.
Guo Y, Zhang H, Liu Q, et al. Phenotypic analysis of atopic dermatitis in children aged 1-12 months: elaboration of novel diagnostic criteria for infants in China and estimation of prevalence[J]. J Eur Acad Dermatol Venereol, 2019, 33(8): 1569-1576.
Bantz SK, Zhu Z, Zheng T. The atopic march: progression from atopic dermatitis to allergic rhinitis and asthma[J]. J Clin Cell Immunol, 2014, 5(2): 202.
Shi M, Zhang H, Chen X, et al. Clinical features of atopic dermatitis in a hospital ⁃ based setting in China[J]. J Eur Acad Dermatol Venereol, 2011, 25(10): 1206 -1212.
Amaral R, Fonseca JA, Jacinto T, et al. Having concomitant asthma phenotypes is common and independently relates to poor lung function in NHANES 2007-2012[J]. Clin Transl Allergy, 2018, 8: 13.
Carrascosa JM, Morillas-Lahuerta V. Comorbidities in atopic dermatitis: an update and review of controversies[J]. Actas Dermosifiliogr (Engl Ed), 2020, 111(6): 481-486.
Paller A, Jaworski JC, Simpson EL, et al. Major comorbidities of atopic dermatitis: beyond allergic disorders[J]. Am J Clin Dermatol, 2018, 19(6): 821-838.
中华医学会皮肤性病学分会免疫学组、特应性皮炎协作研究中心. 中国特应性皮炎诊疗指南(2020版)[J]. 中华皮肤科杂志, 2020, 53(2): 81-88.
Atopic Dermatitis Working GroupImmunology Group, Chinese Society of Dermatology. Chinese guideline for diagnosis and treatment of atopic dermatitis (2020)[J]. Chin J Dermatol, 2020, 53(2): 81-88.
Brunner PM, Guttman-Yassky E. Racial differences in atopic dermatitis[J]. Ann Allergy Asthma Immunol, 2019, 122(5): 449-455.
Noda S, Suárez-Fariñas M, Ungar B, et al. The Asian atopic dermatitis phenotype combines features of atopic dermatitis and psoriasis with increased Th17 polarization[J]. J Allergy Clin Immunol, 2015, 136(5): 1254-1264.
Weidinger S, Novak N. Atopic dermatitis[J]. Lancet, 2016, 387(10023): 1109-1122.
Davidson WF, Leung DYM, Beck LA, et al. Report from the National Institute of Allergy and Infectious Diseases workshop on "Atopic dermatitis and the atopic march: Mechanisms and interventions"[J]. J Allergy Clin Immunol, 2019, 143(3): 894-913.
梁云生,刘钊. 特应性皮炎与2型炎症反应[J].中华皮肤科杂志,2021, 54(1): 84-88.
Liang YS, Liu Z. Type 2 inflammatory responses in atopic dermatitis[J]. Chin J Dermatol, 2021, 54(1): 84-88.
Bousquet J, Anto JM, Akdis M, et al. Paving the way of systems biology and precision medicine in allergic diseases: the MeDALL success story: Mechanisms of the Development of ALLergy; EU FP7-CP-IP; Project No: 261357; 2010-2015[J]. Allergy, 2016, 71(11): 1513-1525.
Ravnborg N, Ambikaibalan D, Agnihotri G, et al. Prevalence of asthma in patients with atopic dermatitis: a systematic review and meta-analysis[J]. J Am Acad Dermatol, 2020, 23(4): 742-751.
Yousuf A, Ibrahim W, Greening NJ, et al. T2 biologics for chronic obstructive pulmonary disease[J]. J Allergy Clin Immunol Pract, 2019, 7(5): 1405-1416.
Bachert C, Zhang N, Cavaliere C, et al. Biologics for chronic rhinosinusitis with nasal polyps[J]. J Allergy Clin Immunol, 2020, 145(3): 725-739.
Han Y, Chen Y, Liu X, et al. Efficacy and safety of dupilumab for the treatment of adult atopic dermatitis: a meta ⁃ analysis of randomized clinical trials[J]. J Allergy Clin Immunol, 2017, 140(3): 888⁃891.
Seegräber M, Srour J, Walter A, et al. Dupilumab for treatment of atopic dermatitis[J]. Expert Rev Clin Pharmacol, 2018, 11(5): 467-474.
Castro M, Corren J, Pavord ID, et al. Dupilumab efficacy and safety in moderate-to-severe uncontrolled asthma[J]. N Engl J Med, 2018, 378(26): 2486-2496.
Bachert C, Han JK, Desrosiers M, et al. Efficacy and safety of dupilumab in patients with severe chronic rhinosinusitis with nasal polyps (LIBERTY NP SINUS-24 and LIBERTY NP SINUS-52): results from two multicentre, randomised, double-blind, placebo-controlled, parallel-group phase 3 trials[J]. Lancet, 2019, 394(10209): 1638-1650.
Silverberg JI, Guttman-Yassky E, Gadkari A, et al. Real-world persistence with dupilumab among adults with atopic dermatitis[J]. Ann Allergy Asthma Immunol, 2021, 126(1): 40-45.
Boguniewicz M, Beck LA, Sher L, et al. Dupilumab improves asthma and sinonasal outcomes in adults with moderate to severe atopic dermatitis[J]. J Allergy Clin Immunol Pract, 2021, 9(3): 1212-1223.
Laidlaw TM, Bachert C, Amin N, et al. Dupilumab improves upper and lower airway disease control in chronic rhinosinusitis with nasal polyps and asthma[J]. Ann Allergy Asthma Immunol, 2021, 126(5): 584-592.
Nakamura Y, Sugano A, Ohta M, et al. Docking analysis and the possibility of prediction efficacy for an anti-IL-13 biopharmaceutical treatment with tralokinumab and lebrikizumab for bronchial asthma[J]. PLoS One, 2017, 12(11): e0188407.
Wollenberg A, Blauvelt A, Guttman-Yassky E, et al. Tralokinumab for moderate-to-severe atopic dermatitis: results from two 52-week, randomized, double-blind, multicentre, placebo-controlled phase Ⅲ trials (ECZTRA 1 and ECZTRA 2)[J]. Br J Dermatol, 2021, 184(3): 437-449.
Silverberg JI, Toth D, Bieber T, et al. Tralokinumab plus topical corticosteroids for the treatment of moderate-to-severe atopic dermatitis: results from the double-blind, randomized, multicentre, placebo-controlled phase Ⅲ ECZTRA 3 trial[J]. Br J Dermatol, 2021, 184(3): 450-463.
Guttman-Yassky E, Blauvelt A, Eichenfield LF, et al. Efficacy and safety of Lebrikizumab, a high-affinity interleukin 13 inhibitor, in adults with moderate to severe atopic dermatitis: A phase 2b randomized clinical trial[J]. JAMA Dermatol, 2020, 156(4): 411-420.
Simpson EL, Flohr C, Eichenfield LF, et al. Efficacy and safety of lebrikizumab (an anti-IL-13 monoclonal antibody) in adults with moderate-to-severe atopic dermatitis inadequately controlled by topical corticosteroids: A randomized, placebo-controlled phase Ⅱ trial (TREBLE)[J]. J Am Acad Dermatol, 2018, 78(5): 863-871.
JrPanettieri RA, Sjöbring U, Péterffy A, et al. Tralokinumab for severe, uncontrolled asthma (STRATOS 1 and STRATOS 2): two randomised, double-blind, placebo-controlled, phase 3 clinical trials[J]. Lancet Respir Med, 2018, 6(7): 511-525.
Zhang Y, Cheng J, Li Y, et al. The safety and efficacy of anti-IL-13 treatment with Tralokinumab (CAT-354) in moderate to severe asthma: a systematic review and Meta-analysis[J]. J Allergy Clin Immunol Pract, 2019, 7(8): 2661-2671.e3.
苏建, 李忠城, 曾林祥. 抗白细胞介素13单抗治疗中至重度未控制哮喘的疗效与安全性的Meta分析[J]. 中国新药与临床杂志, 2020, 39(5): 313-320.
Su J, Li ZC, Zeng LX. Efficacy and safety of anti-interleukin-13 monoclonal antibodies in treatment of moderate-to-severe uncontrolled asthma: a meta-analysis[J]. Chin J New Drugs Clin Rem, 2020, 39(5): 313-320.
Hanania NA, Korenblat P, Chapman KR, et al. Efficacy and safety of lebrikizumab in patients with uncontrolled asthma (LAVOLTA I and LAVOLTA Ⅱ): replicate, phase 3, randomised, double-blind, placebo-controlled trials[J]. Lancet Respir Med, 2016, 4(10): 781-796.
陈宁, 贺建新, 卢根, 等. 奥马珠单抗治疗儿童过敏性哮喘的临床实践指南[J]. 国际儿科学杂志, 2019, 46(11): 773-781.
Chen N, He JX, Lu G, et al. Clinical practice guideline on the use of omalizumab for the treatment in children with allergic asthma[J]. Intern J Pediatr, 2019, 46(11): 773-781.
Hutyrová B, Bystroň J, Czech Anti-IgE Registry collaborators. The effect of omalizumab treatment on severe allergic asthma and allergic comorbidities: real-life experience from the Czech Anti-IgE Registry[J]. Postepy Dermatol Alergol, 2018, 35(5): 510-515.
Velling P, Skowasch D, Pabst S, et al. Improvement of quality of life in patients with concomitant allergic asthma and atopic dermatitis: one year follow-up of omalizumab therapy[J]. Eur J Med Res, 2011, 16(9): 407-410.
Gevaert P, Omachi TA, Corren J, et al. Efficacy and safety of omalizumab in nasal polyposis: 2 randomized phase 3 trials[J]. J Allergy Clin Immunol, 2020, 146(3): 595-605.
Gevaert P, Calus L, Van Zele T, et al. Omalizumab is effective in allergic and nonallergic patients with nasal polyps and asthma[J]. J Allergy Clin Immunol, 2013, 131(1): 110-116.
Armengot-Carceller M, Gómez-Gómez MJ, García-Navalón C, et al. Effects of Omalizumab treatment in patients with recalcitrant nasal polyposis and mild asthma: a multicenter retrospective study[J]. Am J Rhinol Allergy, 2021, 35(4): 516-524.
El-Qutob D. Off-Label uses of Omalizumab[J]. Clin Rev Allergy Immunol, 2016, 50(1): 84-96.
Metz M, Vadasz Z, Kocatürk E, et al. Omalizumab updosing in chronic spontaneous urticaria: an overview of real-world evidence[J]. Clin Rev Allergy Immunol, 2020, 59(1): 38-45.
Wang HH, Li YC, Huang YC. Efficacy of omalizumab in patients with atopic dermatitis: a systematic review and meta-analysis[J]. J Allergy Clin Immunol, 2016, 38(6): 1719-1722.
Chan S, Cornelius V, Cro S, et al. Treatment effect of Omalizumab on severe pediatric atopic dermatitis: the ADAPT randomized clinical trial[J]. JAMA Pediatr, 2020, 174(1): 29-37.
Kang EG, Narayana PK, Pouliquen IJ, et al. Efficacy and safety of mepolizumab administered subcutaneously for moderate to severe atopic dermatitis[J]. Allergy, 2020, 75(4): 950-953.
Pham DN. Spontaneous resolution of atopic dermatitis incidental to participation in benralizumab clinical trial for severe, uncontrolled asthma: a case report[J]. J Med Case Rep, 2021, 15(1): 103.
Simpson EL, Parnes JR, She D, et al. Tezepelumab, an anti-thymic stromal lymphopoietin monoclonal antibody, in the treatment of moderate to severe atopic dermatitis: a randomized phase 2a clinical trial[J]. J Am Acad Dermatol, 2019, 80(4): 1013-1021.
Li J, Jiao J, Gao Y, et al. Association between methylation in nasal epithelial TSLP gene and chronic rhinosinusitis with nasal polyps[J]. Allergy Asthma Clin Immunol, 2019, 15: 71.
Emson C, Corren J, Sałapa K, et al. Efficacy of Tezepelumab in patients with severe, uncontrolled asthma with and without nasal polyposis: a Post Hoc analysis of the phase 2b pathway study[J]. J Asthma Allergy, 2021, 14: 91-99.
Chen YL, Gutowska-Owsiak D, Hardman CS, et al. Proof-of-concept clinical trial of etokimab shows a key role for IL-33 in atopic dermatitis pathogenesis[J]. Sci Transl Med, 2019, 11(515): eaax2945.
Chinthrajah S, Cao S, Liu C, et al. Phase 2a randomized, placebo-controlled study of anti-IL-33 in peanut allergy[J]. JCI Insight, 2019, 4(22): e131347.
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