Novel Therapeutic Approaches and Targets for the Treatment of Atopic Dermatitis.

Curr Pharm Biotechnol

Dermatology Unit, Department of Health Sciences, University of Florence, Florence, Italy.

Published: February 2021

AI Article Synopsis

  • Atopic Dermatitis affects 2.1-4.9% of adults and is mainly caused by inappropriate Th2 cell activation, with new therapies being developed due to its complex nature.
  • Monoclonal antibodies targeting various interleukins and small molecules, like JAK inhibitors, are being researched as next-generation treatments for moderate to severe cases.
  • With the diverse symptoms and chronic nature of Atopic Dermatitis, there's a critical need for effective new treatments to enhance patient quality of life, with Dupilumab already showing promise.

Article Abstract

Background: Atopic Dermatitis is one of the most common inflammatory skin diseases, with an estimated prevalence of 2.1-4.9% in adults. Recently, advances in Atopic Dermatitis understanding have highlighted the role of inappropriate Th2 cell activation as principally involved in its pathogenesis. Other immune pathways seem to play a key role in the complex Atopic Dermatitis pathophysiology. The anti-IL-4/IL-13 was the first monoclonal antibody approved for the treatment of moderate to severe atopic dermatitis in adult patients whose disease is resistant to other therapies. Following its interesting results in terms of efficacy and safety, new therapies are in development.

Methods: Monoclonal antibodies targeting IL-5, IL-13, IL-17, IL-22, IL-23, IL-31 and TSLP are currently under investigation on patients with moderate to severe Atopic Dermatitis patients. Moreover, small molecules like anti-PDE4 and JAK inhibitors may also represent other treatment possibilities.

Results: In this section, we present data available on the efficacy and safety of newer molecules for the treatment of Atopic Dermatitis.

Conclusion: The extreme clinical heterogeneity and the chronic progression of Atopic Dermatitis need for newer, safer and more effective treatments, able to control the disease and to improve the quality of life of affected patients. Dupilumab, and the other monoclonal antibodies and small molecules currently under investigation aim to improve the clinical management of Atopic Dermatitis.

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Source
http://dx.doi.org/10.2174/1389201021666200611112755DOI Listing

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