[Monoclonal antibodies: also for dermatologists!]

Anticorps monoclonaux thérapeutiques - En dermatologie aussi !

Journal

Medecine sciences : M/S
ISSN: 1958-5381
Titre abrégé: Med Sci (Paris)
Pays: France
ID NLM: 8710980

Informations de publication

Date de publication:
Dec 2019
Historique:
entrez: 7 1 2020
pubmed: 7 1 2020
medline: 23 6 2020
Statut: ppublish

Résumé

Therapeutic monoclonal antibodies are henceforth commonly used in the management of psoriasis but have been also used more recently in chronic spontaneous urticaria and atopic dermatitis. Three examples are developed herein: dupilumab, omalizumab and lanadelumab. The specificity of their mechanism of action results from a better understanding of the inflammatory pathways in these chronic diseases, which previously shared either the same targeted topical or systemic treatments. However, their high costs should be put into perspective with the epidemiology, the precise evaluation of the severity, the optimization of first line treatments and the long-term benefit/risk ratio. Anticorps monoclonaux thérapeutiques - En dermatologie aussi ! Les anticorps monoclonaux thérapeutiques en dermatologie ont d’abord été utilisés pour la prise en charge du psoriasis, puis, plus récemment, de l’urticaire chronique spontanée et de la dermatite atopique. Trois exemples seront abordés dans cette revue: le dupilumab, l’omalizumab et le lanadélumab. Leur mode d’action spécifique résulte d’une meilleure compréhension des mécanismes inflammatoires de ces maladies chroniques qui partageaient autrefois des traitements topiques ou systémiques plus ou moins ciblés. Leur utilisation onéreuse doit cependant être raisonnée par la mise en perspective de l’épidémiologie, de l’évaluation précise de la sévérité, de l’optimisation des traitements de première ligne, et de la balance bénéfices/risques.

Autres résumés

Type: Publisher (fre)
Anticorps monoclonaux thérapeutiques - En dermatologie aussi !

Identifiants

pubmed: 31903911
doi: 10.1051/medsci/2019201
pii: msc190174
doi:

Substances chimiques

Antibodies, Monoclonal 0
Antibodies, Monoclonal, Humanized 0
lanadelumab 2372V1TKXK
dupilumab 420K487FSG

Types de publication

Journal Article Review

Langues

fre

Sous-ensembles de citation

IM

Pagination

1017-1021

Informations de copyright

© 2019 médecine/sciences – Inserm.

Références

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Auteurs

Aurélie Du-Thanh (A)

Univ Montpellier, Département de dermatologie, Hôpital Saint-Eloi, CHU de Montpellier, 80 avenue Augustin Fliche, 34295 Montpellier, France - Inserm 1058, Pathogenèse et contrôle des infections chroniques (PCCI), 34394 Montpellier, France.

Bernard Guillot (B)

Univ Montpellier, Département de dermatologie, Hôpital Saint-Eloi, CHU de Montpellier, 80 avenue Augustin Fliche, 34295 Montpellier, France - Inserm 1058, Pathogenèse et contrôle des infections chroniques (PCCI), 34394 Montpellier, France.

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