Monoclonal antibodies in the treatment of rheumatoid arthritis: toward a therapeutic revolution.

被引:4
作者
Sany, Jacques [1 ]
机构
[1] CHU Montpellier, Serv Immunorheumatol, Hop Lapeyronie, F-34295 Montpellier 5, France
关键词
monoclonal antibodies; anti-TNF alpha monoclonal antibodies; anti-B lymphocytes monoclonal antibodies; anti-IL6 monoclonal antibodies; rheumatoid arthritis;
D O I
10.1016/j.crvi.2005.12.008
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Monoclonal antibodies in the treatment of rheumatoid arthritis: toward a therapeutic revolution. The progress of immunopathology allowed the development of targeted drugs or biotherapies. Among them, monoclonal antibodies against T or B lymphocytes or against a cytokine are reported. Monoclonal anti-TNF antibodies are a major therapeutic advance because they can stop the clinical, biological and radiographic evolution of rheumatoid arthritis (RA). Monoclonal anti-CD20 lymphocytes give promising results; they are able to induce prolonged remissions. Monoclonal anti-IL6 receptors are currently being evaluated. They are efficacious in adult RA and in Still's disease. Because of the infectious risk linked to these drugs, the ratio benefit/risk must be carefully evaluated before the prescription of a biotherapy.
引用
收藏
页码:228 / 240
页数:13
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