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磷酸二酯酶4抑制剂治疗银屑病的研究进展
引用本文:张婷,张敏,丽丽,闫静茹,陈佩珊,郝玉琴.磷酸二酯酶4抑制剂治疗银屑病的研究进展[J].现代药物与临床,2022,37(4):912-916.
作者姓名:张婷  张敏  丽丽  闫静茹  陈佩珊  郝玉琴
作者单位:内蒙古医科大学,内蒙古 呼和浩特 010000;内蒙古包钢医院(内蒙古医科大学第三附属医院)皮肤性病科,内蒙古 包头 014010,内蒙古包钢医院(内蒙古医科大学第三附属医院)皮肤性病科,内蒙古 包头 014010,北京大学第三医院 皮肤科,北京 100191
摘    要:银屑病是一种遗传和环境共同作用诱发的、免疫介导的慢性炎症性皮肤病.环磷酸腺苷(cAMP)/蛋白激酶A(PKA)通路与银屑病的发病机制密切相关,而磷酸二酯酶4是可以专一水解cAMP的酶,因此磷酸二酯酶4成为银屑病治疗的期望小分子靶点.磷酸二酯酶4抑制剂类药物通过竞争性阻断磷酸二酯酶4对cAMP的降解作用,使T辅助细胞1(...

关 键 词:磷酸二酯酶4抑制剂  银屑病  环磷酸腺苷/蛋白激酶A通路  阿普司特
收稿时间:2022/1/10 0:00:00

Research progress on phosphodiesterase 4 inhibitors in treatment of psoriasis
ZHANG Ting,ZHANG Min,LI Li,YAN Jing-ru,CHEN Pei-shan,HAO Yu-qin.Research progress on phosphodiesterase 4 inhibitors in treatment of psoriasis[J].Drugs & Clinic,2022,37(4):912-916.
Authors:ZHANG Ting  ZHANG Min  LI Li  YAN Jing-ru  CHEN Pei-shan  HAO Yu-qin
Institution:Inner Mongolia Medical University, Hohehot 010000, China;Department of Dermatology, Baogang Hospital (the Third Affiliated Hospital of Inner Mongolia Medical University), Baotou 014010, China; Department of Dermatology, Peking University Third Hospital, Beijing 100191, China
Abstract:Psoriasis is an immune-mediated chronic inflammatory skin disease induced by a combination of genetics and the environment. cAMP/PKA pathway is closely related to the pathogenesis of psoriasis, and phosphodiesterase 4 is an enzyme that can specifically hydrolyze cAMP, so phosphodiesterase 4 becomes desired small molecule targets for psoriasis therapy. Phosphodiesterase 4 inhibitor drugs play a therapeutic role by competitively blocking the degradation of cAMP by phosphodiesterase 4, then weakening the immune response of Th1, Th2, and Th-17. Phosphodiesterase 4 inhibitor drugs, such as apremilast, roflumilast, criborrol, Hemay005, orlistat, MK-0873, tanimilast, and DRM02 have great potential in the treatment of psoriasis and its comorbidities. This article summarizes the mechanism of action, efficacy, and safety of phosphodiesterase 4 inhibitor drugs in treatment of psoriasis.
Keywords:phosphodiesterase 4 inhibitor  psoriasis  cAMP-PKA signaling pathway  apremilast
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