2016
DOI: 10.3109/09546634.2015.1115816
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Anti-interleukin-17 treatment of psoriasis

Abstract: Psoriasis is a chronic, immune-mediated, inflammatory dermatosis, affecting 2-3% of the US population. While first-generation cytokine antagonists targeting tumor necrosis factor alpha (TNF-α)-dependent pathways have produced favorable responses in the treatment of psoriasis, higher levels of efficacy in a greater proportion of patients have been shown in trials with antibodies targeting interleukin (IL)-17A and the IL-17 receptor subunit. This examines the role of IL-17 inhibitors in the treatment of plaque p… Show more

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Cited by 14 publications
(9 citation statements)
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“…For psoriasis, it is now well established that interleukin IL-17 is involved in the formation of the skin lesions, a notion recently confirmed in humans by the success of monoclonal antibodies against IL-17A or the receptor IL-17RA in controlling and reversing the skin disease [89]. These treatments are now on the market or in phase III trials with great safety profiles and they are highly efficacious [90]. Although successful, employing monoclonal antibodies against chronic diseases can be a costly endeavor, and vaccination stands as a more cost-effective alternative.…”
Section: Nps For Chronic Non-communicable Diseasesmentioning
confidence: 99%
“…For psoriasis, it is now well established that interleukin IL-17 is involved in the formation of the skin lesions, a notion recently confirmed in humans by the success of monoclonal antibodies against IL-17A or the receptor IL-17RA in controlling and reversing the skin disease [89]. These treatments are now on the market or in phase III trials with great safety profiles and they are highly efficacious [90]. Although successful, employing monoclonal antibodies against chronic diseases can be a costly endeavor, and vaccination stands as a more cost-effective alternative.…”
Section: Nps For Chronic Non-communicable Diseasesmentioning
confidence: 99%
“…The IL‐17 cytokine pathway plays an important role in the pathogenesis of psoriasis, and is a highly effective therapeutic target offering an alternate mechanism of action to both TNF‐α and IL‐12/IL‐23 inhibitors . Brodalumab is unique among the biological drugs targeting IL‐17, as it is a fully human monoclonal antibody targeting IL‐17 receptor A.…”
mentioning
confidence: 99%
“…The secretion of IL-12 and IL-23 by the myeloid dendritic cells causes naïve T cells to differentiate into helper type (Th)17 and type 1 Th (Th1) cells. The maintenance and production of Th1 cells is primarily maintained by IL-12, whereas IL-23, composed of IL-23p19 and IL-23p40 protein subunits, is the predominant driver involved in Th17 cell differentiation 7,1317. The effector T cells then migrate back into the skin where they release cytokines and chemokines driving the proliferation of keratinocytes.…”
Section: Role Of Il-17 In the Pathogenesis Of Psoriasismentioning
confidence: 99%