Dupilumab to Treat Type 2 Inflammatory Diseases in Children and Adolescents
During the past decade, significant therapeutic progress has been made in the field of allergic diseases, mainly concerning the pathogenic role of type 2 inflammation. Biologics targeting specific key cytokines, such as interleukin (IL)-4, IL-5, and IL-13, as well as IgE, have emerged as promising i...
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Veröffentlicht in: | Paediatric drugs 2020-06, Vol.22 (3), p.295-310 |
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creator | Licari, Amelia Castagnoli, Riccardo Marseglia, Alessia Olivero, Francesca Votto, Martina Ciprandi, Giorgio Marseglia, Gian Luigi |
description | During the past decade, significant therapeutic progress has been made in the field of allergic diseases, mainly concerning the pathogenic role of type 2 inflammation. Biologics targeting specific key cytokines, such as interleukin (IL)-4, IL-5, and IL-13, as well as IgE, have emerged as promising innovative therapies for allergic disorders. In this context, dupilumab has emerged as one of the most successful therapies targeting the IL-4R axis. Dupilumab is a human IgG4 antibody anti-IL-4 receptor (IL-4R) α-subunit that blocks IL‐4R signaling induced by both IL‐4 and IL‐13, downregulating the molecular pathways that drive type 2 inflammatory diseases, including atopic dermatitis, allergic rhinitis, allergic asthma, chronic rhinosinusitis with nasal polyps, and eosinophilic esophagitis. This review presents the most recent evidence on dupilumab for the treatment of type 2 inflammatory diseases and discusses the future perspective, focusing on the pediatric age group and adolescents. |
doi_str_mv | 10.1007/s40272-020-00387-2 |
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Biologics targeting specific key cytokines, such as interleukin (IL)-4, IL-5, and IL-13, as well as IgE, have emerged as promising innovative therapies for allergic disorders. In this context, dupilumab has emerged as one of the most successful therapies targeting the IL-4R axis. Dupilumab is a human IgG4 antibody anti-IL-4 receptor (IL-4R) α-subunit that blocks IL‐4R signaling induced by both IL‐4 and IL‐13, downregulating the molecular pathways that drive type 2 inflammatory diseases, including atopic dermatitis, allergic rhinitis, allergic asthma, chronic rhinosinusitis with nasal polyps, and eosinophilic esophagitis. This review presents the most recent evidence on dupilumab for the treatment of type 2 inflammatory diseases and discusses the future perspective, focusing on the pediatric age group and adolescents.</description><identifier>ISSN: 1174-5878</identifier><identifier>EISSN: 1179-2019</identifier><identifier>DOI: 10.1007/s40272-020-00387-2</identifier><identifier>PMID: 32157553</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Allergic reaction ; Allergy ; Antibodies ; Asthma ; Children ; Chronic illnesses ; Cytokines ; Dermatitis ; Disease ; Diseases ; Drug therapy ; Esophagitis ; Immunotherapy ; Inflammation ; Inflammatory diseases ; Internal Medicine ; Medicine ; Medicine & Public Health ; Monoclonal antibodies ; Pediatric research ; Pediatrics ; Pharmacotherapy ; Recruitment ; Review Article ; Skin ; Teenagers</subject><ispartof>Paediatric drugs, 2020-06, Vol.22 (3), p.295-310</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Copyright Springer Nature B.V. 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Biologics targeting specific key cytokines, such as interleukin (IL)-4, IL-5, and IL-13, as well as IgE, have emerged as promising innovative therapies for allergic disorders. In this context, dupilumab has emerged as one of the most successful therapies targeting the IL-4R axis. Dupilumab is a human IgG4 antibody anti-IL-4 receptor (IL-4R) α-subunit that blocks IL‐4R signaling induced by both IL‐4 and IL‐13, downregulating the molecular pathways that drive type 2 inflammatory diseases, including atopic dermatitis, allergic rhinitis, allergic asthma, chronic rhinosinusitis with nasal polyps, and eosinophilic esophagitis. This review presents the most recent evidence on dupilumab for the treatment of type 2 inflammatory diseases and discusses the future perspective, focusing on the pediatric age group and adolescents.</description><subject>Allergic reaction</subject><subject>Allergy</subject><subject>Antibodies</subject><subject>Asthma</subject><subject>Children</subject><subject>Chronic illnesses</subject><subject>Cytokines</subject><subject>Dermatitis</subject><subject>Disease</subject><subject>Diseases</subject><subject>Drug therapy</subject><subject>Esophagitis</subject><subject>Immunotherapy</subject><subject>Inflammation</subject><subject>Inflammatory diseases</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Monoclonal antibodies</subject><subject>Pediatric research</subject><subject>Pediatrics</subject><subject>Pharmacotherapy</subject><subject>Recruitment</subject><subject>Review Article</subject><subject>Skin</subject><subject>Teenagers</subject><issn>1174-5878</issn><issn>1179-2019</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc1u3CAURlHVqEnTvkAWFVLWTuFijFmOJj-NGimb6RphfEmIbDwFezFvHzKTNqoUFRZcwfkuoEPIGWcXnDH1PdcMFFQMWMWYaFUFH8gJ50pXwLj-uK_rSraqPSafc35ijCvRwCdyLIBLJaU4IT8vl20YltF2dJ7oJqGd6Wa3RQr0NvrBjqOdp7SjlyGjzZhpiHT9GIY-YaQ29nTVTwNmh3HOX8iRt0PGr6_rKfl1fbVZ_6ju7m9u16u7ytU1zFUnQXgNyspeWedQdy2XXmrnWuUEKO2Y7xuO7gXhugzWetXZppHQSS3EKTk_9N2m6feCeTZP05JiudJAzUEyIQV_ox7sgCZEP83JujFkZ1aK17JtG64LdfEOVWaPY3BTRB_K_j8BOARcmnJO6M02hdGmneHMvGgxBy2maDF7LQZK6Nvri5duxP5v5I-HAogDkMtRfMD09qX_tH0GQAuU7g</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Licari, Amelia</creator><creator>Castagnoli, Riccardo</creator><creator>Marseglia, Alessia</creator><creator>Olivero, Francesca</creator><creator>Votto, Martina</creator><creator>Ciprandi, Giorgio</creator><creator>Marseglia, Gian Luigi</creator><general>Springer International Publishing</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0002-1773-6482</orcidid><orcidid>https://orcid.org/0000-0001-7016-8421</orcidid><orcidid>https://orcid.org/0000-0003-0029-9383</orcidid><orcidid>https://orcid.org/0000-0003-3662-0159</orcidid></search><sort><creationdate>20200601</creationdate><title>Dupilumab to Treat Type 2 Inflammatory Diseases in Children and Adolescents</title><author>Licari, Amelia ; 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subjects | Allergic reaction Allergy Antibodies Asthma Children Chronic illnesses Cytokines Dermatitis Disease Diseases Drug therapy Esophagitis Immunotherapy Inflammation Inflammatory diseases Internal Medicine Medicine Medicine & Public Health Monoclonal antibodies Pediatric research Pediatrics Pharmacotherapy Recruitment Review Article Skin Teenagers |
title | Dupilumab to Treat Type 2 Inflammatory Diseases in Children and Adolescents |
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