Infliximab
生产企业:J&J and Mitsubisi Tanabe
Infliximab is a monoclonal anti tumor necrosis factor alpha antibody used in the treatment of a wide variety of inflammatory conditions such as rheumatoid arthritis, Crohn's disease, and ankylosing spondylitis.
Infliximab is a monoclonal anti tumor necrosis factor alpha antibody used in the treatment of a wide variety of inflammatory conditions such as rheumatoid arthritis, Crohn's disease, and ankylosing spondylitis.
Infliximab is a IgG1κ monoclonal antibody that binds to soluble and transmembrane forms of TNF-α with high affinity to disrupt the pro-inflammatory cascade signalling. Binding of the antibody to TNF-α prevents TNF-α from interacting with its receptors. Infliximab does not neutralize TNF-β (lymphotoxin-α), a related cytokine that utilizes the same receptors as TNF-α . Blocked actions of TNF-α further leads to downregulation of local and systemic pro-inflammatory cytokines (i.e. IL-1, IL-6), reduction of lymphocyte and leukocyte migration to sites of inflammation, induction of apoptosis of TNF-producing cells (i.e. activated monocytes and T lymphocytes), increased levels of nuclear factor-κB inhibitor, and reduction of reduction of endothelial adhesion molecules and acute phase proteins . Its inhibitory actions on TNF-α was demonstrated in human fibroblasts, endothelial cells, neutrophils, B and Tlymphocytes and epithelial cells . Infliximab also atteunates the production of tissue degrading enzymes synthesized by synoviocytes and/or chondrocytes. According to a transgenic mice study that developed polyarthritis due to consitutive levels of human TNF-α, infliximab decreased synovitis and joint erosions in collagen-induced arthritis and allows eroded joints to heal .
用于治疗: ⑴类风湿性关节炎:本品常与甲氨蝶呤合用于中重度活动性类风湿性关节炎; ⑵克罗恩病及瘘管性克罗恩病; ⑶强直性脊柱炎等自身免疫性疾病,以减轻症状和体征,改善身体机能,预防患者残疾。 ⑷用于银屑病关节炎的治疗【美国FDA已批准;英国风湿病学会/英国风湿病卫生专业人员协会《BSR/BHPR—应用生物制剂治疗银屑病关节炎指南》2012版;欧洲抗风湿病联盟《EULAR—银屑病关节炎药 物治疗管理建议》2011版 】。 ⑸用于6岁及以上儿童溃疡性结肠炎的治疗【美国FDA已批准;中华医学会内科学会《炎症性肠病诊断与治疗的共识意见》;中华医学会消化病学分会炎症性肠病学组《英夫利西治疗克罗恩病的推荐方案(2011年】。
共 8 项相关疾病