摘要
葡萄膜炎是以眼内炎症为特征的疾病,不经治疗可导致视力丧失。长期控制炎症,并对全身及局部产生最小的副作用,是用于葡萄膜炎患者治疗的首选方案。葡萄膜炎的治疗药物主要是糖皮质激素的各种制剂,如外用、局部、眼内和全身制剂等。然而,由于糖皮质激素对各器官和系统产生严重不良反应,故单用效果不佳。使用类固醇类全身免疫抑制剂存在限制性,因为此类药物可能产生严重的不良反应和狭窄的治疗时窗。因此,在炎症通道各阶段起作用的较新的分子靶点似乎有望为治疗葡萄膜炎提供新策略。开发特别设计的单克隆抗体可以潜在地阻止导致疾病缓解的炎症过程。对临床前和临床研究的疗效及安全性数据进行总结,数据显示,新的分子药物及生物疗法具有可观的前景。此外,可保证高眼压治疗水平的新型给药系统已凸显端倪。
关键词: 给药系统,免疫调节疗法,非感染性的,治疗,葡萄膜炎。
Current Molecular Medicine
Title:Therapies in Development for Non-Infectious Uveitis
Volume: 15 Issue: 6
Author(s): M.A. Sadiq, A. Agarwal, M. Hassan, R. Afridi, S. Sarwar, M.K. Soliman, D.V. Do and Q.D. Nguyen
Affiliation:
关键词: 给药系统,免疫调节疗法,非感染性的,治疗,葡萄膜炎。
摘要: Uveitis represents a spectrum of diseases characterized by ocular inflammation that leads to significant visual loss if left untreated. Adequate, long-term control of inflammation with minimal systemic and local adverse effects is the preferred strategy for treating patients with uveitis. Pharmacotherapy for uveitis consists mainly of corticosteroids in various formulations such as topical, local, intraocular and systemic. However, monotherapy with corticosteroids is often unacceptable due to serious adverse effects on various organ systems. There exist limitations with the use of steroid-sparing systemic immunosuppressive agents, as these medications may have significant adverse events and a narrow therapeutic window. Thus, newer molecular targets that act on various steps of the inflammatory pathway appear to be promising emerging strategies for treating uveitis. Specially designed monoclonal antibodies in development can potentially halt the inflammatory processes resulting in remission of the disease. In the index review, novel molecular agents and biological therapies that have shown promising efficacy and safety data in preclinical and clinical studies have been summarized. In addition, new drug delivery systems that may ensure high intraocular therapeutic levels of pharmacologic agents have been highlighted.
Export Options
About this article
Cite this article as:
M.A. Sadiq, A. Agarwal, M. Hassan, R. Afridi, S. Sarwar, M.K. Soliman, D.V. Do and Q.D. Nguyen , Therapies in Development for Non-Infectious Uveitis, Current Molecular Medicine 2015; 15 (6) . https://dx.doi.org/10.2174/1566524015666150731103847
DOI https://dx.doi.org/10.2174/1566524015666150731103847 |
Print ISSN 1566-5240 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5666 |
- Author Guidelines
- Graphical Abstracts
- Fabricating and Stating False Information
- Research Misconduct
- Post Publication Discussions and Corrections
- Publishing Ethics and Rectitude
- Increase Visibility of Your Article
- Archiving Policies
- Peer Review Workflow
- Order Your Article Before Print
- Promote Your Article
- Manuscript Transfer Facility
- Editorial Policies
- Allegations from Whistleblowers
Related Articles
-
Chalcones and <i>Bis</i>-Chalcones Analogs as DPPH and ABTS Radical Scavengers
Letters in Drug Design & Discovery On Therapeutic Drug Monitoring of Thiopurines in Inflammatory Bowel Disease; Pharmacology, Pharmacogenomics, Drug Intolerance and Clinical Relevance
Current Drug Metabolism Current Update on Synopsis of miRNA Dysregulation in Neurological Disorders
CNS & Neurological Disorders - Drug Targets N-acetyl-seryl-aspartyl-lysyl-proline (Ac-SDKP): Potential target molecule in research of heart, kidney and brain
Current Pharmaceutical Design Prediction of Disease-Related Genes Based on Hybrid Features
Current Proteomics Potential Therapeutic Properties of Natural Products Through the Expression of Heme Oxygenase-1
Mini-Reviews in Organic Chemistry Mechanisms of Protective Effects of SGLT2 Inhibitors in Cardiovascular Disease and Renal Dysfunction
Current Topics in Medicinal Chemistry Statins and Vulnerable Plaque
Current Pharmaceutical Design Development and Validation of HPLC Method for Five Gliptins in Pharmaceutical Dosage Forms in Finished Marketed Products
Current Pharmaceutical Analysis Obstructive Sleep Apnoea Syndrome and Diabetes. Fortuitous Association or Interaction?
Current Diabetes Reviews Recent Advances in Design of Glycogen Phosphorylase Inhibitors
Current Enzyme Inhibition Novel Aspects in the Pathogenesis of Nonalcoholic Steatohepatitis
Current Molecular Medicine Autoimmune Fibrotic Adverse Reactions in One-Year Treatment with Cabergoline for Women with Prolactinoma
Endocrine, Metabolic & Immune Disorders - Drug Targets Association of Soluble Adhesion Molecule and C-Reactive Protein Levels with Silent Brain Infarction in Patients with and Without Type 2 Diabetes
Current Neurovascular Research Effects of Hypertension, Diabetes Mellitus, Obesity and Other Factors on Kidney Haemodynamics
Current Vascular Pharmacology A Comprehensive Review on the Biological and Pharmacological Activities of Rhodanine Based Compounds for Research and Development of Drugs
Mini-Reviews in Medicinal Chemistry Pharmacogenetics Strategies: From Candidate Genes to Whole-Genome Association Analysis. Exploratory or Confirmatory Studies?
Current Pharmacogenomics and Personalized Medicine Non Smoking for Successful Aging: Therapeutic Perspectives
Current Pharmaceutical Design Management of Measurable Variable Cardiovascular Disease' Risk Factors
Current Cardiology Reviews Mitochondrial Uncoupler Proteins
Current Enzyme Inhibition