Signaling Рathway Blockers: Action Mechanism, Efficacy, Safety of Therapy for Patients with Psoriasis and Psoriatic Arthritis

In the literature review, contemporary data on immune pathogenesis of psoriasis and the emergence of comorbid states against the background of systemic chronic inflammation among patients is discussed. On the example of the apremilast medical preparation, the information on a new class of therapeuti...

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Main Author: A. A. Bakulev
Format: Article
Language:English
Published: State Scientific Center of Dermatovenereology and Cosmetology 2018-01-01
Series:Vestnik Dermatologii i Venerologii
Subjects:
Online Access:https://www.vestnikdv.ru/jour/article/view/343
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author A. A. Bakulev
author_facet A. A. Bakulev
author_sort A. A. Bakulev
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description In the literature review, contemporary data on immune pathogenesis of psoriasis and the emergence of comorbid states against the background of systemic chronic inflammation among patients is discussed. On the example of the apremilast medical preparation, the information on a new class of therapeutic agents for the treatment of psoriasis and psoriatic arthritis – “small molecules” is given, including their physicochemical properties and action mechanism, as well as on the key differences from immune-suppressive and genetically engineered biological preparations. Data on large-scale international randomised clinical trials of the efficacy and safety of the PDE4 inhibitor of apremilast among patients with moderate to severe psoriasis and psoriatic arthritis is presented. The published international clinical recommendations on the use of apremilast among patients with psoriasis and psoriatic arthritis, the criteria for evaluating the response to therapy, as well as the potential profile of patients for the use of apremilast in real clinical practice are discussed.
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spelling doaj.art-1bab8cdb282c4087a95f5b3dbfafe6dd2023-09-02T21:44:59ZengState Scientific Center of Dermatovenereology and CosmetologyVestnik Dermatologii i Venerologii0042-46092313-62942018-01-0105899610.25208/0042-4609-2017-93-5-89-96338Signaling Рathway Blockers: Action Mechanism, Efficacy, Safety of Therapy for Patients with Psoriasis and Psoriatic ArthritisA. A. Bakulev0Saratov State Medical University named after V. I. Razumovsky of the Ministry of Health of Russian Federation, SaratovIn the literature review, contemporary data on immune pathogenesis of psoriasis and the emergence of comorbid states against the background of systemic chronic inflammation among patients is discussed. On the example of the apremilast medical preparation, the information on a new class of therapeutic agents for the treatment of psoriasis and psoriatic arthritis – “small molecules” is given, including their physicochemical properties and action mechanism, as well as on the key differences from immune-suppressive and genetically engineered biological preparations. Data on large-scale international randomised clinical trials of the efficacy and safety of the PDE4 inhibitor of apremilast among patients with moderate to severe psoriasis and psoriatic arthritis is presented. The published international clinical recommendations on the use of apremilast among patients with psoriasis and psoriatic arthritis, the criteria for evaluating the response to therapy, as well as the potential profile of patients for the use of apremilast in real clinical practice are discussed.https://www.vestnikdv.ru/jour/article/view/343psoriasispsoriatic arthritisimmune systempathogenesiscomorbid statestherapysmall moleculesaprimilastsoriasispsoriatic arthritisimmune systempathogenesiscomorbid statestherapysmall moleculesaprimilastefficiencyrecommendations for use
spellingShingle A. A. Bakulev
Signaling Рathway Blockers: Action Mechanism, Efficacy, Safety of Therapy for Patients with Psoriasis and Psoriatic Arthritis
Vestnik Dermatologii i Venerologii
psoriasis
psoriatic arthritis
immune system
pathogenesis
comorbid states
therapy
small molecules
aprimilast
soriasis
psoriatic arthritis
immune system
pathogenesis
comorbid states
therapy
small molecules
aprimilast
efficiency
recommendations for use
title Signaling Рathway Blockers: Action Mechanism, Efficacy, Safety of Therapy for Patients with Psoriasis and Psoriatic Arthritis
title_full Signaling Рathway Blockers: Action Mechanism, Efficacy, Safety of Therapy for Patients with Psoriasis and Psoriatic Arthritis
title_fullStr Signaling Рathway Blockers: Action Mechanism, Efficacy, Safety of Therapy for Patients with Psoriasis and Psoriatic Arthritis
title_full_unstemmed Signaling Рathway Blockers: Action Mechanism, Efficacy, Safety of Therapy for Patients with Psoriasis and Psoriatic Arthritis
title_short Signaling Рathway Blockers: Action Mechanism, Efficacy, Safety of Therapy for Patients with Psoriasis and Psoriatic Arthritis
title_sort signaling рathway blockers action mechanism efficacy safety of therapy for patients with psoriasis and psoriatic arthritis
topic psoriasis
psoriatic arthritis
immune system
pathogenesis
comorbid states
therapy
small molecules
aprimilast
soriasis
psoriatic arthritis
immune system
pathogenesis
comorbid states
therapy
small molecules
aprimilast
efficiency
recommendations for use
url https://www.vestnikdv.ru/jour/article/view/343
work_keys_str_mv AT aabakulev signalingrathwayblockersactionmechanismefficacysafetyoftherapyforpatientswithpsoriasisandpsoriaticarthritis