生物制剂在IgG4相关性疾病治疗中的应用进展OA
The application of biologic agents in the treatment of IgG4-related diseases
IgG4相关性疾病(IgG4-RD)是一种病因尚不明确的慢性自身免疫性疾病,主要表现为血清IgG4水平显著升高,受累组织器官常伴有大量淋巴细胞和IgG4阳性浆细胞浸润以及纤维化.生物制剂相对于传统的糖皮质激素药物治疗,具有更高的精准性、安全性、有效性、不良反应较小等优点.生物制剂在治疗IgG4-RD中仍然处于探索阶段,本文就生物制剂在IgG4-RD中的作用机制以及临床疗效进行总结和分析.
IgG4-related disease(IgG4-RD)is a chronic autoimmune condition of unclear etiology,characterized by significantly elevated serum IgG4 levels,and often accompanied by extensive infiltration of lymphocytes and IgG4-positive plasma cells,as well as fibrosis,in affected tissues and organs.Compared with traditional steroid therapy,biologic agents offer advantages,such as greater treatment specificity,improved safety and efficacy,and less side effects.However,the use of biologic agents in the treatment of IgG4-RD re-mains in the exploratory stage.This article summarizes and analyzes the mechanisms of action and clinical effi-cacy of biologic agents in IgG4-RD.
刘月;朱翰斌;孙力祺;张德宇;黄浩杰;邹晓平
210093 南京,南京大学医学院附属泰康仙林鼓楼医院消化内科200433 上海,海军军医大学(第二军医大学)长海医院消化科313000 浙江 陆军第七十二集团军医院消化内科200433 上海,海军军医大学(第二军医大学)长海医院消化科200433 上海,海军军医大学(第二军医大学)长海医院消化科210093 南京,南京大学医学院附属泰康仙林鼓楼医院消化内科
生物制剂IgG4相关性疾病
biologic agentsIgG4-related diseases
《中华临床免疫和变态反应杂志》 2026 (2)
91-97,7
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