Chronic Rhinosinusitis with Nasal Polyps: Targeting IgE with Anti-IgE Omalizumab Therapy
| Autor: | Louisa K. James, Harsha H Kariyawasam |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Pharmacology biology business.industry Chronic rhinosinusitis Pharmaceutical Science Context (language use) Omalizumab Disease Immunoglobulin E medicine.disease Sinonasal disease 03 medical and health sciences 030104 developmental biology 0302 clinical medicine 030220 oncology & carcinogenesis Drug Discovery Immunology medicine biology.protein Biomarker (medicine) Nasal polyps business medicine.drug |
| Zdroj: | Drug Design, Development and Therapy. 14:5483-5494 |
| ISSN: | 1177-8881 |
| Popis: | Chronic rhinosinusitis with nasal polyps (CRSwNP) is a complex, clinically heterogeneous and persistent inflammatory disorder of the upper airway. Detailed mechanistic insights into disease pathogenesis are lacking, but it is now accepted that local tissue IgE driven T2-high inflammatory pathways are critical to disease. The recent CRSwNP Phase 3 POLYP1 and POLYP2 replicate studies of blocking IgE with omalizumab confirmed rapid improvements in all clinical parameters of sinonasal disease, confirming a pivotal role for IgE driven inflammatory pathways in CRSwNP. This review summarises the biology of IgE in relation to CRSwNP. Insight into how IgE may drive CRSwNP is evaluated in the context of clinical improvements seen with omalizumab. The need for further studies using a broader patient and biomarker specific groups to aid more precise drug-patient selection alongside more detailed mechanistic studies of omalizumab in CRSwNP is highlighted. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|