Etanercept - TNF receptor and IgG1 Fc fusion protein: is it different from other TNF blockers?

被引:46
作者
Marotte, Hubert [1 ]
Cimaz, Rolando [2 ]
机构
[1] CHU St Etienne, Hop Nord, Dept Rheumatol, St Etienne, France
[2] Univ Florence, Anna Meyer Childrens Hosp, Dept Pediat, Rheumatol Unit, Florence, Italy
关键词
efficacy; etanercept; side effect; TNF blockers; RHEUMATOID-ARTHRITIS; CROHNS-DISEASE; ALPHA AGENTS; NECROSIS; THERAPY; TUBERCULOSIS; INFLIXIMAB; UVEITIS; RISK; ANTAGONISTS;
D O I
10.1517/14712598.2014.896334
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 [微生物学]; 090105 [作物生产系统与生态工程];
摘要
TNF blockers have been available to treat various inflammatory disorders since more than a decade. T cells and macrophages mainly express TNF and activate many cells through two types of receptors. Pharmaceutical companies developed two types of TNF blockers: soluble receptors and monoclonal antibodies. Understanding of differences of structure and function can explain divergence of efficacy or side effects. Etanercept has the best retention rate in rheumatic diseases, but is less or not effective in granulomatous diseases, such as inflammatory bowel diseases or uveitis. However, etanercept induces less tuberculosis infections than anti-TNF blocker monoclonal antibodies.
引用
收藏
页码:569 / 572
页数:4
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