Is it time for treat to target in antiphospholipid syndrome?

IF 9.2 1区 医学 Q1 IMMUNOLOGY
Savino Sciascia, Giuseppe Barilaro, Massimo Radin, Ricard Cervera, Dario Roccatello
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引用次数: 0

Abstract

A treat-to-target (T2T) approach aims to the identification of a clinically relevant therapeutic target and applies tight control (periodic visits at prespecified time-points and treatment adjustments) to achieve it with the goal of improving disease outcomes. The application of a T2T strategy appears to be less feasible in APS compared to other autoimmune diseases. This is primarily explicable by the disease's kaleidoscopic clinical presentation, along with the lack of a definitive tool (biomarkers or scoring system) to assess disease activity, making it complex to recognize a singular, effective therapeutic target for APS patients. Nevertheless, the conceptualization of T2T strategies should be considered a key objective when managing APS, aiming to achieve optimal disease control (including lowering the risk for recurrences), to reduce damage accumulation, and, ultimately, to enhance patients' quality of life.

抗磷脂综合征的靶向治疗时机是否成熟?
靶向治疗(T2T)方法旨在确定与临床相关的治疗靶点,并通过严格控制(在预先指定的时间点进行定期检查并调整治疗方案)来实现这一目标,从而改善疾病预后。与其他自身免疫性疾病相比,在 APS 中应用 T2T 策略似乎不太可行。这主要是因为该疾病的临床表现千变万化,而且缺乏评估疾病活动性的明确工具(生物标志物或评分系统),因此很难为 APS 患者确定一个有效的治疗目标。尽管如此,T2T 策略的概念化应被视为治疗 APS 的关键目标,其目的是实现最佳的疾病控制(包括降低复发风险),减少损伤累积,并最终提高患者的生活质量。
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来源期刊
Autoimmunity reviews
Autoimmunity reviews 医学-免疫学
CiteScore
24.70
自引率
4.40%
发文量
164
审稿时长
21 days
期刊介绍: Autoimmunity Reviews is a publication that features up-to-date, structured reviews on various topics in the field of autoimmunity. These reviews are written by renowned experts and include demonstrative illustrations and tables. Each article will have a clear "take-home" message for readers. The selection of articles is primarily done by the Editors-in-Chief, based on recommendations from the international Editorial Board. The topics covered in the articles span all areas of autoimmunology, aiming to bridge the gap between basic and clinical sciences. In terms of content, the contributions in basic sciences delve into the pathophysiology and mechanisms of autoimmune disorders, as well as genomics and proteomics. On the other hand, clinical contributions focus on diseases related to autoimmunity, novel therapies, and clinical associations. Autoimmunity Reviews is internationally recognized, and its articles are indexed and abstracted in prestigious databases such as PubMed/Medline, Science Citation Index Expanded, Biosciences Information Services, and Chemical Abstracts.
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