摘要
镰状细胞病(SCD)是一种由β -球蛋白基因单一突变引起的红细胞遗传性疾病。这一疾病主要在低收入国家折磨着全世界数百万患者,其特点是发病率高、死亡率高和预期寿命低。为了促进能够减少患者痛苦和提高其生活质量的治疗,迫切需要新的药物和非药物治疗策略。自1998年FDA批准HU以来,在发现新药方面几乎没有什么进展;然而,在过去的三年中,voxelotor, crizanlizumab和谷氨酰胺已经被批准为新的治疗替代品。此外,已经描述了新的有希望的化合物来治疗SCD的主要症状。在这里,我们以药物发现为重点,讨论了治疗SCD的新策略,这些策略在过去十年中已经被实施,发现了新的、安全的、有效的治疗方法。此外,非药理学方法,包括红细胞交换,基因治疗和造血干细胞移植将被提出。
关键词: 镰状细胞病,新药,胎儿血红蛋白,一氧化氮,抗镰状细胞,铁螯合,红细胞
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