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Dupilumab治疗重症哮喘的研究进展
引用本文:李佳,李论,高金明. Dupilumab治疗重症哮喘的研究进展[J]. 国际呼吸杂志, 2020, 0(5): 378-381
作者姓名:李佳  李论  高金明
作者单位:中国医学科学院
摘    要:支气管哮喘(哮喘)是以2型辅助性T细胞(Th2)介导的炎症反应为主的慢性气道炎症性疾病。Th2细胞通过释放白细胞介素4(IL-4)、IL-13与共受体IL-4受体α亚基(IL-4Rα)结合,激活下游信号转导,导致哮喘气道炎症反应的发生。Dupilumab是全人源化的抗IL-4Rα单克隆抗体,能够与IL-4Rα高亲和力结合,从而竞争性抑制IL-4、IL-13与IL-4Rα结合,减少重症哮喘急性发作、改善肺功能。本文将对Dupilumab治疗重症哮喘患者的有效性和安全性研究进展进行综述。

关 键 词:哮喘  抗体,单克隆  Dupilumab

Progress in the treatment of severe asthma with dupilumab
Li Jia,Li Lun,Gao Jinming. Progress in the treatment of severe asthma with dupilumab[J]. International Journal of Respiration, 2020, 0(5): 378-381
Authors:Li Jia  Li Lun  Gao Jinming
Affiliation:(Department of Respiratory Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)
Abstract:Bronchial asthma(asthma)is such a chronic airway inflammatory disease which mediated by T helper cell type 2(Th2).The Th2 cells secret interleukin-4(IL-4)and IL-13,which activate the downstream signal transduction through the co-receptor interleukin-4 receptorα(IL-4Rα).Dupilumab is a fully human anti-IL-4 Rαmonoclonal antibody that competitive inhibits the combination between IL-4Rαand IL-4 or IL-13,which can reduce severe exacerbation and increased lung function in patients with severe asthma.The update of the efficacy and safety of dupilumab for treating severe asthma is reviewed in this article.
Keywords:Asthma  Antibodies  monoclonal  Dupilumab
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