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引用本文:曾愫琦,邓蓓莹,张吉翔,董卫国.炎症性肠病患者对抗肿瘤坏死因子-α单克隆抗体原发性失应答研究进展[J].中国现代应用药学,2022,39(23):3159-3163.
ZENG Suqi,DENG Beiying,ZHANG Jixiang,DONG Weiguo.Research Progress of Primary Non-response to Anti-TNF-α Monoclonal Antibody in Patients with Inflammatory Bowel Disease[J].Chin J Mod Appl Pharm(中国现代应用药学),2022,39(23):3159-3163.
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炎症性肠病患者对抗肿瘤坏死因子-α单克隆抗体原发性失应答研究进展
曾愫琦, 邓蓓莹, 张吉翔, 董卫国
武汉大学人民医院消化科, 武汉 430060
摘要:
抗肿瘤坏死因子(TNF)-a单克隆抗体(单抗)现已广泛用于治疗激素依赖或难治性炎症性肠病(inflammatory bowel disease,IBD)患者,然而部分患者在治疗期间会出现原发性无应答。本综述就接受抗TNF-α单抗治疗的IBD患者发生原发性失应答的机制、预测标志物总结了目前相关研究进展,为实现IBD生物制剂治疗的精确化、个体化提供理论依据。
关键词:  炎症性肠病  抗肿瘤坏死因子  原发性失应答
DOI:10.13748/j.cnki.issn1007-7693.2022.23.017
分类号:R969.3
基金项目:国家自然科学基金项目(81870392)
Research Progress of Primary Non-response to Anti-TNF-α Monoclonal Antibody in Patients with Inflammatory Bowel Disease
ZENG Suqi, DENG Beiying, ZHANG Jixiang, DONG Weiguo
Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan 430060, China
Abstract:
Anti-tumor necrosis factor-a(anti-TNF-a) monoclonal antibodies are now widely used in patients with steroid-dependent or steroid-refractory inflammatory bowel disease(IBD). However, some patients will experience primary non-response(PNR) during treatment. This review summarized the current research progress on the mechanism and predictive markers of PNR in IBD patients treated with anti-TNF-α monoclonal antibodies, providing a theoretical basis for the realization of precise and individualized treatment of IBD biologics.
Key words:  inflammatory bowel disease  anti-tumor necrosis factor  primary non-response
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