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Is tocilizumab a good therapeutic option for RA and systemic-onset juvenile idiopathic arthritis

机译:托珠单抗是RA和系统性发作的幼年特发性关节炎的良好治疗选择吗

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摘要

Interleukin (IL)-6 is a pleiotropic cytokine that has a major role in inflammatory diseases. The results of two recently published clinical trials that used different study designs demonstrated that tocilizumab, a humanized monoclonal antibody that targets the binding of IL-6 to its receptor, improved the clinical and biological signs of disease activity in both rheumatoid arthritis and systemic-onset juvenile idiopathic arthritis. Adverse events included a higher risk of infections, transient elevation of liver aminotransferases, higher cholesterol levels, and a few allergic reactions. Future studies should investigate the long-term efficacy (clinical and structural) and safety of tocilizumab, including its effect on lipid levels.
机译:白介素(IL)-6是一种多效性细胞因子,在炎症性疾病中起主要作用。两项最近发表的使用不同研究设计的临床试验的结果表明,针对IL-6与其受体结合的人源化单克隆抗体tocilizumab改善了类风湿关节炎和全身性发作的疾病活动的临床和生物学迹象。幼年特发性关节炎。不良事件包括较高的感染风险,肝氨基转移酶的短暂升高,较高的胆固醇水平和一些过敏反应。未来的研究应研究托珠单抗的长期疗效(临床和结构)和安全性,包括其对血脂水平的影响。

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