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2015 ; 28
(4
): 179-93
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gab.com Text
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New and emerging biologic therapies for moderate-to-severe plaque psoriasis:
mechanistic rationales and recent clinical data for IL-17 and IL-23 inhibitors
#MMPMID26201310
Gaspari AA
; Tyring S
Dermatol Ther
2015[Jul]; 28
(4
): 179-93
PMID26201310
show ga
The development of effective and well-tolerated biologic therapies has advanced
the management of psoriasis by enabling clinicians to treat underlying disease
mechanisms. Biologics approved for the treatment of moderate-to-severe psoriasis
include three tumor necrosis factor alpha inhibitors and an
interleukin-12/interleukin-23 inhibitor. The establishment of the immunological
basis of psoriasis has led to the development of biologic agents targeting
specific downstream mediators in the psoriatic cascade. These drugs inhibit
cytokines and cytokine signaling/transcription mediators like interleukin-17,
which plays an important role in immunopathogenesis. Several interleukin-17
inhibitors are undergoing phase 3 clinical studies. In addition, biologics that
selectively inhibit interleukin-23 have been assessed in phase 2 studies. This
review describes how the dissection of pathways in the immunopathogenesis of
psoriasis has led to the development of therapeutic agents and highlights the
latest clinical efficacy, safety and tolerability data on new and emerging
biologic therapies that selectively target interleukin-17 or interleukin-23.
|*Signal Transduction/drug effects
[MESH]
|Antibodies, Monoclonal, Humanized/therapeutic use
[MESH]
|Antibodies, Monoclonal/therapeutic use
[MESH]
|Biological Therapy
[MESH]
|Dermatologic Agents/adverse effects/*therapeutic use
[MESH]