国际眼科纵览 ›› 2022, Vol. 46 ›› Issue (4): 336-340.doi: 10.3760/cma.j.issn.1673-5803.2022.04.009

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阿达木单抗治疗非感染性葡萄膜炎

彭宇邱新文2  叶波2  陈建苏3   

  1. 1中南大学爱尔眼科学院,长沙410000;2南昌爱尔眼科医院330000;3爱尔眼科研究所,长沙410000

  • 收稿日期:2021-10-09 出版日期:2022-08-22 发布日期:2022-08-22
  • 通讯作者: 陈建苏,Email:chenjiansu2000@163.com
  • 基金资助:
    江西省重点研发计划(20203BBGL73193)

Application of adalimumab in non-infectious uveitis

Peng Yu 1, Qiu Xinwen 2, Ye Bo2, Chen Jiansu3   

  1. 1Aier School of Ophthalmology, Central South University, Changsha 410000, China; 2Nanchang Aier Eye Hospital, Nanchang 330000, China; 3Aier Eye Institute, Changsha 410000, China

  • Received:2021-10-09 Online:2022-08-22 Published:2022-08-22
  • Contact: Chen Jiansu, Email: chenjiansu2000@163.com
  • Supported by:
    Key R & D Program of Jiangxi Province (20203BBGL73193)

摘要: 非感染性葡萄膜炎(non-infectious uveitis,NIU)是一组免疫介导的疾病,其病因复杂,治疗棘手。肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)是NIU中的主要促炎因子,阿达木单抗是一种完全的人源性TNF-α单克隆抗体,特异性与TNF-α结合阻断其诱导的下游过程。阿达木单抗治疗NIU包括Behcet病所致葡萄膜炎、Vogt-小柳-原田综合征、强直性脊柱炎相关葡萄膜炎、儿童葡萄膜炎等,可有效减轻炎症,减少糖皮质激素的用量,降低复发率,其安全性也已得到初步证实。阿达木单抗是NIU二线治疗适合的选择,在治疗NIU中显示出巨大的潜力。(国际眼科纵览,2022, 46:336-340)


关键词: 非感染性葡萄膜炎, 肿瘤坏死因子-α抑制剂, 阿达木单抗

Abstract: Non-infectious uveitis (NIU) is a group of immune-mediated diseases with complex etiology and difficult treatment. Tumor necrosis factor-α (TNF-α) is the key pro-inflammatory factor in NIU. Adalimumab is a fully humanized monoclonal antibody targeting TNF-α, specifically binding to TNF-α and therefore blocking its induced downstream processes. Application of adalimumab in NIU including uveitis caused by Behcet's disease, Vogt-Koyanagi-Harada syndrome, ankylosing spondylitis-related uveitis, and children's uveitis can effectively reduce inflammation, the dosage of glucocorticoid, and the recurrence rate. Its safety has also been initially confirmed. Adalimumab is a suitable option for second-line treatment of NIU and shows great potential in the treatment of NIU. (Int Rev Ophthalmol, 2022, 46:  336-340)

Key words: non-infectious uveitis, tumor necrosis factor -α inhibitors, adalimumab