Current and Emerging Biologics for Atopic Dermatitis.

Immunol Allergy Clin North Am

Division of Allergy-Immunology, Department of Pediatrics, National Jewish Health and University of Colorado School of Medicine, 1400 Jackson Street, J310, Denver, CO 80206, USA. Electronic address:

Published: November 2024

AI Article Synopsis

  • The disease is complex, involving issues like skin barrier dysfunction, immune system imbalances, and changes in skin microbes, which all contribute to its symptoms.
  • Treatments currently available include monoclonal antibodies like Dupilumab and tralokinumab for moderate-to-severe cases, with additional medications like lebrikizumab and nemolizumab in the pipeline.

Article Abstract

Atopic dermatitis (AD) is a common chronic pruritic inflammatory skin disease that affects all ages and is recognized as a global health problem. Pathophysiology is complex with skin barrier abnormalities, immune dysregulation, and microbial dysbiosis all implicated. Markers of immune and inflammatory activation in the circulation provide a rationale for systemic therapy. Type 2 immune polarization is central, though other cytokine pathways including Th22 and Th17/IL-23 have been described, suggesting additional therapeutic targets in a subset of patients. Dupilumab and tralokinumab are monoclonal antibodies currently approved for moderate-to-severe AD with lebrikizumab and nemolizumab in late stages of development.

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Source
http://dx.doi.org/10.1016/j.iac.2024.08.001DOI Listing

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