首页|类风湿关节炎治疗的进展与挑战

类风湿关节炎治疗的进展与挑战

Progresses and Challenges in the Treatment of Rheumatoid Arthritis

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类风湿关节炎(rheumatoid arthritis,RA)是一种慢性、全身性、异常的炎性免疫反应.其特点是累及滑膜和多器官,并造成关节和关节软骨破坏.在过去的30年里,一些有希望的新化合物和抗体已经被开发出来用于治疗RA.而RA治疗药物的引入和精准医学的发展也引发了与患者获得新疗法、最佳方案选择、成本效益、预后监测和疗效监测相关的几个问题,特别是在药物反应率低、耐药性和不良副作用方面.人们非常重视治疗RA的最佳药物组合,特别是在症状严重或早期进展的患者中.解决这些问题需要新的治疗方法和新的机制,并为药物选择、药物重组建立准确的指南.笔者根据美国国家医学图书馆的临床试验数据库,综述了有前景的新药,并讨论了 RA药物开发的趋势和治疗中的挑战,为RA的精准治疗和未来的研究方向提供了参考.
Rheumatoid arthritis(RA)is a chronic,systemic,and abnormal inflammatory immune response.It is character-ized by the involvement of synovium and multiple organs and the destruction of joints and articular cartilage.In the past 30 years,some promising new compounds and antibodies have been developed to treat RA.The introduction of RA therapeutic drugs and the development of precision medicine have also given rise to several problems related to patients'access to new treatments,choice of the best regimen,cost-effectiveness,prognosis monitoring and efficacy monitoring,especially in terms of low drug response rate,drug resistance and adverse side effects.People attach great importance to the best combination of drugs for the treatment of RA,especially in patients with severe symptoms or early progression.New treatments and mechanisms are needed to solve these problems,and accurate guidelines for drug selection and drug recombination are established.According to the clinical trial database of the National Library of Medicine,this study summarizes the exciting new drugs,and discusses the trends and challenges in the development of RA drugs,which provides a meaningful reference for the accurate treatment and future research direction of RA.

rheumatoid arthritisprecision medicinenew therapydrug development

姜平、常岑、许林帅、时一鸣、何东仪

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上海中医药大学附属光华医院,上海 200052

上海中医药大学,上海 201203

上海市光华中西医结合医院关节炎研究所,上海 200052

类风湿关节炎 精准医学 新疗法 药物开发

国家自然科学基金面上项目资助国家中医药管理局区域中医(专科)诊疗中心建设项目上海市何东仪名中医工作室建设项目资助

82074234SHGZS-202220

2024

中国药学杂志
中国药学会

中国药学杂志

CSTPCD北大核心
影响因子:0.957
ISSN:1001-2494
年,卷(期):2024.59(3)
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