摘要
背景技术托法替尼(以前称为CP-690,550,CP690550),一种新型的选择性免疫抑制剂,是分类为两面激酶抑制剂的小分子。 这篇评论文章的目的是提供皮肤科领域的托法替尼数据更新的摘要。 方法:我们对同行评议的科学文章,包括评论文章,原始研究文章以及基于纳入/排除标准的案例报告文章进行了一个结构化的书目数据库搜索。来自美国食品与药物管理局和欧洲医疗机构的关于托法替尼的技术报告也列入其中。 结果:本文共收录了43篇论文。 我们报告了目前关于托法替尼化学性质,药理学,非临床毒性以及皮肤病如:牛皮癣,斑秃,白癜风,特应性皮炎和与斑秃相关的指甲营养不良的潜在新适应症的疗效和安全性的数据。 结论:JAK / STAT通路在牛皮癣,斑秃,特应性皮炎,白癜风发病中具有重要的作用。 尽管拥有令人兴奋的疗效,但由于担心托伐替尼的总体安全性,将做额外的研究来确定足够的风险与效益比。
关键词: 托法替尼,CP690550,蛋白激酶抑制剂,JAK / STAT通路,小分子,牛皮癣,斑秃,白癜风。
Current Medicinal Chemistry
Title:Tofacitinib, an Oral Janus Kinase Inhibitor: Perspectives in Dermatology
Volume: 24 Issue: 11
关键词: 托法替尼,CP690550,蛋白激酶抑制剂,JAK / STAT通路,小分子,牛皮癣,斑秃,白癜风。
摘要: Background: Tofacitinib (formerly known as CP-690,550, CP690550, tasocitinib), a novel selective immunosuppressant, is a small molecule classified as Janus kinase inhibitor. The aim of this review article is to present updated data summary on the tofacitinib in the field of dermatology.
Method: We undertook a structured search of bibliographic databases for peer-reviewed scientific articles, including review articles, original research articles as well as case report articles based on inclusion/exclusion criteria. Technical reports on tofacitinib from U.S. Food and Drug Administration and European Medical Agency were also included. Results: Forty-three papers were included in this review. We report current data on tofacitinib chemical properties, pharmacology, non-clinical toxicity, as well as efficacy and safety in potential new indications in dermatology: psoriasis, alopecia areata, vitiligo, atopic dermatitis and nail dystrophy associated with alopecia areata. Conclusion: JAK/STAT pathway has an important role in the pathogenesis of psoriasis, alopecia areata, atopic dermatitis, and vitiligo. Despite encouraging efficacy, due to concerns about the overall safety profile of tofacitinib, additional studies will have to determine the adequate risk-to-benefit ratio.Export Options
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Cite this article as:
Tofacitinib, an Oral Janus Kinase Inhibitor: Perspectives in Dermatology, Current Medicinal Chemistry 2017; 24 (11) . https://dx.doi.org/10.2174/1874467210666170113104503
DOI https://dx.doi.org/10.2174/1874467210666170113104503 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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