Bullous Pemphygoid and Novel Therapeutic Approaches

Bullous pemphigoid is a subepidermal blistering disease associated with autoantibodies (auto-ab) to BP180 and BP230 which affects elderly patients, predominately. Although it is a rare disease, bullous pemphigoid is the most common among the autoimmune bullous skin diseases. Systemic corticosteroids...

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Main Authors: Giovanni Marco D’Agostino, Giulio Rizzetto, Andrea Marani, Samuele Marasca, Matteo Candelora, Daisy Gambini, Helena Gioacchini, Edoardo De Simoni, Andrea Maurizi, Anna Campanati, Annamaria Offidani
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/11/2844
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author Giovanni Marco D’Agostino
Giulio Rizzetto
Andrea Marani
Samuele Marasca
Matteo Candelora
Daisy Gambini
Helena Gioacchini
Edoardo De Simoni
Andrea Maurizi
Anna Campanati
Annamaria Offidani
author_facet Giovanni Marco D’Agostino
Giulio Rizzetto
Andrea Marani
Samuele Marasca
Matteo Candelora
Daisy Gambini
Helena Gioacchini
Edoardo De Simoni
Andrea Maurizi
Anna Campanati
Annamaria Offidani
author_sort Giovanni Marco D’Agostino
collection DOAJ
description Bullous pemphigoid is a subepidermal blistering disease associated with autoantibodies (auto-ab) to BP180 and BP230 which affects elderly patients, predominately. Although it is a rare disease, bullous pemphigoid is the most common among the autoimmune bullous skin diseases. Systemic corticosteroids and immunosuppressants represent milestones in the treatment of patients suffering from bullous pemphigoid; however, therapeutic management of patients still represents a clinical challenge, owing to the chronic nature of the disease and to potential adverse effects related to the long-term use of systemic treatments. Recent discoveries on the pathogenesis of bullous pemphigoid have allowed investigation of new target therapies against selective pro-inflammatory mediators. These therapies appear to yield satisfactory results with fewer side effects in cases of refractory disease. The review discusses current evidence on these new therapeutic targets and specific drugs under investigation.
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spelling doaj.art-55c61dcc354e45cb8de4a9e36837fac62023-11-24T03:51:39ZengMDPI AGBiomedicines2227-90592022-11-011011284410.3390/biomedicines10112844Bullous Pemphygoid and Novel Therapeutic ApproachesGiovanni Marco D’Agostino0Giulio Rizzetto1Andrea Marani2Samuele Marasca3Matteo Candelora4Daisy Gambini5Helena Gioacchini6Edoardo De Simoni7Andrea Maurizi8Anna Campanati9Annamaria Offidani10Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, 60126 Ancona, ItalyDermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, 60126 Ancona, ItalyDermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, 60126 Ancona, ItalyDermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, 60126 Ancona, ItalyDermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, 60126 Ancona, ItalyDermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, 60126 Ancona, ItalyDermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, 60126 Ancona, ItalyDermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, 60126 Ancona, ItalyDermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, 60126 Ancona, ItalyDermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, 60126 Ancona, ItalyDermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, 60126 Ancona, ItalyBullous pemphigoid is a subepidermal blistering disease associated with autoantibodies (auto-ab) to BP180 and BP230 which affects elderly patients, predominately. Although it is a rare disease, bullous pemphigoid is the most common among the autoimmune bullous skin diseases. Systemic corticosteroids and immunosuppressants represent milestones in the treatment of patients suffering from bullous pemphigoid; however, therapeutic management of patients still represents a clinical challenge, owing to the chronic nature of the disease and to potential adverse effects related to the long-term use of systemic treatments. Recent discoveries on the pathogenesis of bullous pemphigoid have allowed investigation of new target therapies against selective pro-inflammatory mediators. These therapies appear to yield satisfactory results with fewer side effects in cases of refractory disease. The review discusses current evidence on these new therapeutic targets and specific drugs under investigation.https://www.mdpi.com/2227-9059/10/11/2844bullous pemphigoidtarget therapiesbiologicssmall moleculesnovel treatments
spellingShingle Giovanni Marco D’Agostino
Giulio Rizzetto
Andrea Marani
Samuele Marasca
Matteo Candelora
Daisy Gambini
Helena Gioacchini
Edoardo De Simoni
Andrea Maurizi
Anna Campanati
Annamaria Offidani
Bullous Pemphygoid and Novel Therapeutic Approaches
Biomedicines
bullous pemphigoid
target therapies
biologics
small molecules
novel treatments
title Bullous Pemphygoid and Novel Therapeutic Approaches
title_full Bullous Pemphygoid and Novel Therapeutic Approaches
title_fullStr Bullous Pemphygoid and Novel Therapeutic Approaches
title_full_unstemmed Bullous Pemphygoid and Novel Therapeutic Approaches
title_short Bullous Pemphygoid and Novel Therapeutic Approaches
title_sort bullous pemphygoid and novel therapeutic approaches
topic bullous pemphigoid
target therapies
biologics
small molecules
novel treatments
url https://www.mdpi.com/2227-9059/10/11/2844
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