Kinberger Maria, Dobos Gabor, Solimani Farzan
Department of Dermatology, Venereology and Allergology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.
Division of Evidence-Based Medicine (dEBM), Department of Dermatology, Venereology and Allergology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Deutschland.
Dermatologie (Heidelb). 2024 Oct;75(10):762-774. doi: 10.1007/s00105-024-05413-9. Epub 2024 Sep 13.
In 1997 rituximab, a genetically engineered chimeric monoclonal antibody (mAb) targeting CD20 expressed on B cells was approved for treatment of non-Hodgkin's lymphoma. Since then, pharmacological improvements combined with increased knowledge on the immunopathogenesis of diseases led to the development of specific mAb targeting different antigens (e.g., interleukins or transmembrane receptors). This approach reshaped the therapeutic methodology in many fields, including dermatology. Nowadays, the treatment of frequent and possibly impairing inflammatory disorders such as psoriasis, atopic dermatitis or hidradenitis suppurativa have different mAbs approved for both adult and pediatric patients. This class of drugs often shows a more favorable outcome and a better safety profile than routine immunosuppressants, such as steroids and steroid-sparing substances. For many years mAbs also represented a pillar of oncological treatment for severe diseases such as malignant melanoma or Merkel cell carcinoma. This review summarizes the current knowledge on already approved and promising new mAbs for the treatment of inflammatory and oncological skin diseases.
1997年,利妥昔单抗,一种靶向B细胞上表达的CD20的基因工程嵌合单克隆抗体(mAb)被批准用于治疗非霍奇金淋巴瘤。从那时起,药理学的进步以及对疾病免疫发病机制认识的增加,促使了针对不同抗原(如白细胞介素或跨膜受体)的特异性单克隆抗体的研发。这种方法重塑了包括皮肤病学在内的许多领域的治疗方法。如今,对于常见且可能造成损害的炎症性疾病,如银屑病、特应性皮炎或化脓性汗腺炎,已有不同的单克隆抗体被批准用于成人和儿童患者。这类药物通常比常规免疫抑制剂,如类固醇和类固醇替代物质,显示出更有利的疗效和更好的安全性。多年来,单克隆抗体也是恶性黑色素瘤或默克尔细胞癌等严重疾病肿瘤治疗的支柱。本综述总结了目前关于已批准的和有前景的用于治疗炎症性和肿瘤性皮肤病的单克隆抗体的知识。