Profile of tocilizumab and its potential in the treatment of giant cell arteritis.

IF 3.1 Q1 OPHTHALMOLOGY
Eye and Brain Pub Date : 2018-01-23 eCollection Date: 2018-01-01 DOI:10.2147/EB.S127812
Susan Patricia Mollan, John Horsburgh, Bhaskar Dasgupta
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引用次数: 0

Abstract

Giant cell arteritis (GCA) remains a medical emergency due to the threat of permanent sight loss. High-dose glucocorticoids (GCs) are effective in inducing remission in the majority of patients, however, relapses are common which lengthen GC therapy. GC toxicity remains a major morbidity in this group of patients, and conventional steroid-sparing therapies have not yet shown enough of a clinical benefit to change the standard of care. As the understanding of the underlying immunopathophysiology of GCA has increased, positive clinical observations have been made with the use of IL-6 receptor inhibitor therapies, such as tocilizumab (TCZ). This has led to prospective randomized control trials that have highlighted the safety and efficacy of TCZ in both new-onset and relapsing GCA.

托西珠单抗的简介及其治疗巨细胞动脉炎的潜力。
巨细胞动脉炎(GCA)可导致永久性失明,因此仍是一种医学急症。大剂量糖皮质激素(GCs)能有效缓解大多数患者的病情,但复发也很常见,这延长了 GCs 治疗的时间。糖皮质激素的毒性仍然是这类患者的主要发病原因,而传统的类固醇节省疗法尚未显示出足以改变治疗标准的临床疗效。随着对 GCA 潜在免疫病理生理学认识的加深,使用 IL-6 受体抑制剂疗法(如妥西珠单抗 (TCZ))取得了积极的临床观察结果。因此,前瞻性随机对照试验强调了 TCZ 对新发和复发 GCA 的安全性和有效性。
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来源期刊
Eye and Brain
Eye and Brain OPHTHALMOLOGY-
CiteScore
7.90
自引率
2.30%
发文量
12
审稿时长
16 weeks
期刊介绍: Eye and Brain is an international, peer-reviewed, open access journal focusing on basic research, clinical findings, and expert reviews in the field of visual science and neuro-ophthalmology. The journal’s unique focus is the link between two well-known visual centres, the eye and the brain, with an emphasis on the importance of such connections. All aspects of clinical and especially basic research on the visual system are addressed within the journal as well as significant future directions in vision research and therapeutic measures. This unique journal focuses on neurological aspects of vision – both physiological and pathological. The scope of the journal spans from the cornea to the associational visual cortex and all the visual centers in between. Topics range from basic biological mechanisms to therapeutic treatment, from simple organisms to humans, and utilizing techniques from molecular biology to behavior. The journal especially welcomes primary research articles or review papers that make the connection between the eye and the brain. Specific areas covered in the journal include: Physiology and pathophysiology of visual centers, Eye movement disorders and strabismus, Cellular, biochemical, and molecular features of the visual system, Structural and functional organization of the eye and of the visual cortex, Metabolic demands of the visual system, Diseases and disorders with neuro-ophthalmic manifestations, Clinical and experimental neuro-ophthalmology and visual system pathologies, Epidemiological studies.
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