Tumor necrosis factor and granuloma biology: Explaining the differential infection risk of etanercept and infliximab

被引:110
作者
Wallis, RS
Ehlers, S
机构
[1] Univ Med & Dent New Jersey, New Jersey Med Sch, Newark, NJ 07103 USA
[2] PPD Dev, Columbia, MD USA
[3] Leibniz Ctr Med & Biosci, Res Ctr Borstel, D-23845 Borstel, Germany
关键词
D O I
10.1016/j.semarthrit.2005.01.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Several studies show that the risk of granulomatous infections following therapy with the anti-tumor necrosis factor (TNF) antibody infliximab is higher than after treatment with the soluble TNFRp75 immunoglobulin fusion construct etanercept. Therefore, despite sharing a common target, it is possible that the actual mode of action of the 2 biologicals differs in vivo. TNF is known to participate in the induction and maintenance of protective granulomas at multiple steps, and evidence supporting a differential inhibition of TNF bioactivity and signaling by the 2 drugs is discussed. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:34 / 38
页数:5
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