将美泊利珠单抗作为重度嗜酸性粒细胞性哮喘的附加维持疗法进行评估。

IF 3.6 3区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Expert Opinion on Biological Therapy Pub Date : 2025-03-01 Epub Date: 2025-01-30 DOI:10.1080/14712598.2025.2457779
Zheng Zhu, Xiaoying Chen, Yiting Luo, Rui Feng, Zicong Zhou, Ruchong Chen
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引用次数: 0

摘要

随着对IL-5和IL-5靶向mepolizumab的作用的深入和广泛的研究,抗白细胞介素(IL)-5生物疗法治疗严重哮喘的临床经验不断增加。本综述旨在提供关于IL-5和mepolizumab作用的最新证据,讨论mepolizumab的益处及其未来潜力,以促进对哮喘病理生理学和治疗方法的理解。涉及领域:对于这篇叙述性综述,我们使用关键词“IL-5”和“mepolizumab”在PubMed和Embase中进行了数据库搜索,重点关注截至2024年9月的随机对照试验和现实世界的研究。本文综述了重症哮喘的发病机制,对IL-5和mepolizumab作用的新认识,以及mepolizumab治疗重症嗜酸性粒细胞哮喘的有效性和安全性的证据,并讨论了其在临床缓解中的益处和未来的应用。专家意见:Mepolizumab由于其作用机制和多重潜在益处,在哮喘治疗中具有相当大的前景。在临床实践中,可能值得考虑从使用中剂量吸入糖皮质激素开始探索性地开始mepolizumab附加治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An evaluation of mepolizumab as an add-on maintenance treatment for severe eosinophilic asthma.

Introduction: Clinical experience with anti-interleukin (IL)-5 biologic therapies for severe asthma has been increasing, alongside deeper and broader research focusing on the role of IL-5 and the IL-5 targeted mepolizumab. This review aims to provide an update of the evidence on the role of IL-5 and mepolizumab, with discussions of the benefits of mepolizumab and its future potential, to promote the comprehension of the pathophysiology and therapeutic approaches to asthma.

Areas covered: For this narrative review, we conducted a database search in PubMed and Embase using the keywords 'IL-5' and 'mepolizumab,' focusing on randomized controlled trials and real-world studies up to September 2024. An overview of the pathogenesis of severe asthma, new insights on the role of IL-5 and mepolizumab, and the evidence on the efficacy and safety of mepolizumab in the treatment of severe eosinophilic asthma is provided, and its benefits in clinical remission and future applications are also discussed.

Expert opinion: Mepolizumab holds considerable promise in asthma treatment due to its mechanism of action and multiple potential benefits. In clinical practice, it may be worth considering the exploratory initiation of mepolizumab add-on treatment from the time of medium-dose inhaled glucocorticosteroid use.

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来源期刊
Expert Opinion on Biological Therapy
Expert Opinion on Biological Therapy 医学-生物工程与应用微生物
CiteScore
8.60
自引率
0.00%
发文量
96
审稿时长
3-8 weeks
期刊介绍: Expert Opinion on Biological Therapy (1471-2598; 1744-7682) is a MEDLINE-indexed, international journal publishing peer-reviewed research across all aspects of biological therapy. Each article is structured to incorporate the author’s own expert opinion on the impact of the topic on research and clinical practice and the scope for future development. The audience consists of scientists and managers in the healthcare and biopharmaceutical industries and others closely involved in the development and application of biological therapies for the treatment of human disease. The journal welcomes: Reviews covering therapeutic antibodies and vaccines, peptides and proteins, gene therapies and gene transfer technologies, cell-based therapies and regenerative medicine Drug evaluations reviewing the clinical data on a particular biological agent Original research papers reporting the results of clinical investigations on biological agents and biotherapeutic-based studies with a strong link to clinical practice Comprehensive coverage in each review is complemented by the unique Expert Collection format and includes the following sections: Expert Opinion – a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results; Article Highlights – an executive summary of the author’s most critical points.
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