麻风病反应:临床药理学家的观点与重新用途的药物。

Q3 Pharmacology, Toxicology and Pharmaceutics
Pugazhenthan Thangaraju, Aravind Kumar B, Hemasri Velmurugan, Sajitha Venkatesan, SreeSudha Ty
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引用次数: 1

摘要

有了现有的抗麻风药物,就有可能消灭麻风。然而,麻风反应通常发生在多种药物治疗完成后数月或数年,主要由于其引起神经损伤和残疾的作用,仍然是一个艰巨的挑战。通常使用皮质类固醇,但它们会导致全身性并发症,因此需要减少剂量并以不同的目标进行辅助治疗。已经确定了具有不同靶点的各种药物,并在实践中用于治疗麻风反应。新的目标包括皮肤和神经中的基因和组织目标。沙利度胺治疗减少戊曲辛-3、toll样受体拮抗剂、米诺环素、阿普米司特、免疫调节剂和替尼达可有助于麻风反应。其他治疗麻风反应的方法包括血浆置换、静脉注射免疫球蛋白和免疫治疗。这些治疗大多只基于反应的病理过程,往往是不完整的,导致复发。需要基于各种生物标志物(遗传、组织、血清学)的新的多模式方法,这些生物标志物可以监测以防止反应复发。因此,有必要确定新的靶点和药物来管理麻风反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Leprosy Reactions: Clinical Pharmacologist Perspective with Repurposed Medications.

The elimination of leprosy has been possible with the available anti-leprotic drugs. However, the lepra reactions usually occur months or years after multi-drug therapy completion, and continue to be a formidable challenge mainly owing to its role in causing nerve damage and disability. Corticosteroids are commonly used but they lead to systemic complications, and hence require dose reduction and adjunct therapy with a different target. Various drugs with different targets have been identified and are in practice to treat lepra reactions. The newer targets can include genetic and tissue targets in the skin and nerve. Thalidomide treatment reducing pentraxin-3, toll-like receptor antagonists, minocycline, apremilast, immunomodulators, and tenidap can be helpful in lepra reaction. Other modalities to manage lepra reactions include plasma exchange, intravenous immunoglobulins, and immunotherapy. Most of these treatments are based only on the pathological process of the reaction and tend to be incomplete leading to recurrence. Newer multimodal approaches are required based on various biomarkers (genetic, tissue, serological), which can be monitored to prevent the recurrence of reactions. Hence, there is a need for newer targets and drugs to be identified for the management of lepra reactions.

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来源期刊
Infectious disorders drug targets
Infectious disorders drug targets Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
3.10
自引率
0.00%
发文量
123
期刊介绍: Infectious Disorders - Drug Targets aims to cover all the latest and outstanding developments on the medicinal chemistry, pharmacology, molecular biology, genomics and biochemistry of contemporary molecular targets involved in infectious disorders e.g. disease specific proteins, receptors, enzymes, genes. Each issue of the journal contains a series of timely in-depth reviews written by leaders in the field covering a range of current topics on drug targets involved in infectious disorders. As the discovery, identification, characterization and validation of novel human drug targets for anti-infective drug discovery continues to grow, this journal will be essential reading for all pharmaceutical scientists involved in drug discovery and development.
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