类风湿关节炎治疗研究进展
曹芝艳;于泓;
摘要(Abstract):
类风湿关节炎(RA)是一种病因不明的全身性免疫性炎症,主要损伤关节滑膜,导致关节畸形和功能丧失,其药物治疗包括传统抗风湿药物、生物制剂及各种生物仿制药。传统抗风湿药如甲氨蝶呤、来氟米特和糖皮质激素等是RA治疗的基础用药。生物制剂是一种更直接、更明确、更有针对性的治疗方法,可延缓RA疾病进展,目前可供临床选择的生物制剂包括肿瘤坏死因子抑制剂、IL-1受体拮抗剂、IL-6受体拮抗剂、B细胞耗竭剂、T细胞靶向药物及JAK激酶抑制剂等,分别具有不同的病理生理靶点。生物仿制药与生物制剂疗效相似,但经济成本更低,各种生物仿制药如基于单克隆抗体英夫利昔单抗、CT-P13(Inflectra)、SB2(Renflexis)等已陆续获得批准上市。干细胞移植因其免疫调节特性成为RA治疗的一种可用的替代方法,大量研究已证明其有效性及安全性。
关键词(KeyWords): 类风湿性关节炎;药物疗法;干细胞移植
基金项目(Foundation):
作者(Authors): 曹芝艳;于泓;
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