上海交通大学学报(医学版) ›› 2021, Vol. 41 ›› Issue (7): 963-966.doi: 10.3969/j.issn.1674-8115.2021.07.019

• 综述 • 上一篇    

Janus激酶抑制剂在特应性皮炎治疗中的临床应用研究进展

庄昊俊(), 郭美亮, 刘婉雯, 邓辉()   

  1. 上海交通大学附属第六人民医院皮肤科,上海 200233
  • 出版日期:2021-07-28 发布日期:2021-08-03
  • 通讯作者: 邓辉 E-mail:nichijou@sjtu.edu.cn;denghui-1@hotmail.com
  • 作者简介:庄昊俊(1997—),男,硕士生;电子信箱:nichijou@sjtu.edu.cn
  • 基金资助:
    国家自然科学基金(81673054)

Clinical research progress of Janus kinase inhibitors in the treatment of atopic dermatitis

Hao-jun ZHUANG(), Mei-liang GUO, Wan-wen LIU, Hui DENG()   

  1. Department of Dermatology, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2021-07-28 Published:2021-08-03
  • Contact: Hui DENG E-mail:nichijou@sjtu.edu.cn;denghui-1@hotmail.com
  • Supported by:
    National Natural Science Foundation of China(81673054)

摘要:

特应性皮炎是一种慢性炎症性皮肤病,主要与Th2型信号通路的变化有关。白细胞介素-4(interleukin-4,IL-4)和IL-13的表达增加使聚丝蛋白减少,从而导致皮肤屏障缺陷。Janus激酶-信号转导及转录激活因子(Janus kinase-signal transducer and activator of transcription,Jak-STAT)信号通路与特应性皮炎的发病机制密切相关,抑制Jak-STAT信号通路治疗特应性皮炎是一种有潜力的方法。Janus激酶(Janus kinase,JAK)抑制剂在对JAKs抑制的选择上可分为第一代JAK抑制剂和第二代JAK抑制剂。该综述通过对第一代和第二代JAK抑制剂在临床试验中的疗效和安全性进行总结,阐明JAK抑制剂在特应性皮炎治疗中的临床应用研究进展。

关键词: 特应性皮炎, Jak-STAT信号通路, JAK抑制剂

Abstract:

Atopic dermatitis is a chronic inflammatory skin disease, which is mainly related to changes in Th2 type signaling pathways. Increased expression of interleukin-4 (IL-4) and IL-13 reduces filaggrin, which leads to skin barrier defects. The Janus kinase-singal transducer and activator of transcriprion (Jak-STAT) signaling pathway is closely related to the pathogenesis of atopic dermatitis. Inhibiting the Jak-STAT signaling pathway is a potential method to treat atopic dermatitis. Janus kinase (JAK) inhibitors can be divided into first-generation and second-generation JAK inhibitors in the selection of JAKs′ inhibition. By summarizing the efficacy and safety of the first-generation and second-generation JAK inhibitors in clinical trials, the clinical research progress of JAK inhibitors in the treatment of atopic dermatitis is clarified.

Key words: atopic dermatitis, Jak-STAT signaling pathway, JAK inhibitors

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