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The future of biological agents in the treatment of rheumatoid arthritis

机译:生物制剂在类风湿关节炎治疗中的未来

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摘要

Rheumatoid arthritis (RA) is an autoimmune disease with a currently unknown etiology and multifactorial pathogenesis. This review recaps on the history of development of the main principles of biological disease-modifying agents. Moving into current treatment guidance from Europe and the USA, monotherapy and second-line biological choice is addressed. The reviews explores and summarizes the latest developments and potential impact of anti-cytokine therapy, including TNF, IL-6 and IL-17, anti-lymphocyte therapies, B cell modulators and other B-cell targets, anti-CD3, biosimilars and finally oral agents such as JAK and Syk inhibitors.
机译:类风湿关节炎(RA)是一种自身免疫性疾病,其病因和多因素发病机制目前未知。这篇综述回顾了生物疾病改良剂主要原理的发展历史。进入欧洲和美国的当前治疗指南后,解决了单一疗法和二线生物学选择问题。综述探讨并总结了抗细胞因子疗法的最新发展及其潜在影响,包括TNF,IL-6和IL-17,抗淋巴细胞疗法,B细胞调节剂和其他B细胞靶标,抗CD3,生物仿制药,最后口服药物,例如JAK和Syk抑制剂。

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