Antibodies Targeting the Tumor Necrosis Factor-Like Ligand 1A in Inflammatory Bowel Disease: A New Kid on the (Biologics) Block?

IF 3 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Digestion Pub Date : 2024-07-26 DOI:10.1159/000540421
Daniel Schweckendiek, Gerhard Rogler
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引用次数: 0

Abstract

Background: The treatment options for inflammatory bowel disease (IBD) have grown over the last years. However, a significant fraction of patients either do not respond to their treatment or lose response over time.

Summary: Future treatment options could include antibodies that target the tumor necrosis factor-like ligand 1A (TL1A). TL1A is a key cytokine involved in the pathogenesis of a variety of autoimmune diseases including IBD. Studies have shown that IBD disease severity correlates well with serum levels of TL1A. Phase 2 data from two agents currently in clinical testing have been released. In line with requirements for modern therapeutics, companion diagnostic was part of these trials. This aims to identify those patients that are more likely to respond to the agents tested.

Key messages: With regard to the available data the risk/benefit profile of TL1A inhibitors seems to be promising. This article gives a short update and overview, where we are at this point in time with antibodies targeting the TL1A protein in IBD.

针对炎症性肠病中肿瘤坏死因子 (TNF) 样配体 1A (TL1A) 的抗体--(生物制剂)领域的新秀?
近年来,炎症性肠病(IBD)的治疗方案不断增加。然而,相当一部分患者要么对治疗没有反应,要么随着时间的推移失去反应。未来的治疗方案可能包括针对肿瘤坏死因子(TNF)配体 1A(TL1A)的抗体。TL1A 是一种关键的细胞因子,参与了包括 IBD 在内的多种自身免疫性疾病的发病机制。研究表明,IBD 疾病的严重程度与血清中的 TL1A 水平密切相关。目前正在进行临床试验的两种药物的第二阶段数据已经公布。根据现代疗法的要求,辅助诊断是这些试验的一部分。其目的是确定哪些患者更有可能对测试药物产生反应。从现有数据来看,风险/效益分析似乎很有前景。本文简要介绍了针对 TL1A 蛋白的抗体治疗 IBD 的最新进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Digestion
Digestion 医学-胃肠肝病学
CiteScore
7.90
自引率
0.00%
发文量
39
审稿时长
6-12 weeks
期刊介绍: ''Digestion'' concentrates on clinical research reports: in addition to editorials and reviews, the journal features sections on Stomach/Esophagus, Bowel, Neuro-Gastroenterology, Liver/Bile, Pancreas, Metabolism/Nutrition and Gastrointestinal Oncology. Papers cover physiology in humans, metabolic studies and clinical work on the etiology, diagnosis, and therapy of human diseases. It is thus especially cut out for gastroenterologists employed in hospitals and outpatient units. Moreover, the journal''s coverage of studies on the metabolism and effects of therapeutic drugs carries considerable value for clinicians and investigators beyond the immediate field of gastroenterology.
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