Immune Dysregulation and Current Targeted Biologics in Hidradenitis Suppurativa

Hidradenitis Suppurativa (HS) is a debilitating cutaneous disease characterized by a vicious cycle of chronic inflammation and tissue destruction that stems from disruption of the skin microbiome and abnormal activation of both the innate and adaptive immune system. A hallmark of HS pathophysiology...

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Main Authors: Rene Chen, Robyn Guo, Amy J. Petty, Tarannum Jaleel
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Immuno
Subjects:
Online Access:https://www.mdpi.com/2673-5601/4/1/4
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author Rene Chen
Robyn Guo
Amy J. Petty
Tarannum Jaleel
author_facet Rene Chen
Robyn Guo
Amy J. Petty
Tarannum Jaleel
author_sort Rene Chen
collection DOAJ
description Hidradenitis Suppurativa (HS) is a debilitating cutaneous disease characterized by a vicious cycle of chronic inflammation and tissue destruction that stems from disruption of the skin microbiome and abnormal activation of both the innate and adaptive immune system. A hallmark of HS pathophysiology is dysregulation of both the innate and adaptive immune system. The role of immune system dysregulation in HS development has motivated researchers to explore the utility of biologic immunomodulators. In 2015, adalimumab, a tumor necrosis factor-α inhibitor, was approved by the Food and Drug Administration (FDA) for treatment of moderate-to-severe HS in the US. In 2023, secukinumab, an interleukin-17A (IL-17A) inhibitor, was approved by the European Medicines Agency for treatment of moderate-to-severe HS in Europe. Ongoing clinical trials have shown promising clinical responses to targeted therapies against other pro-inflammatory cytokines including IL-17, IL-12, IL-1, IL-36, IL-6, IL-10, interferon γ, C5a, and Janus kinase (JAK). We provide an update on the efficacy and clinical usage of targeted biologics in HS treatment.
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spelling doaj.art-6bc430173e5f4f198c551fdf6d40714a2024-03-27T13:46:46ZengMDPI AGImmuno2673-56012024-02-0141577610.3390/immuno4010004Immune Dysregulation and Current Targeted Biologics in Hidradenitis SuppurativaRene Chen0Robyn Guo1Amy J. Petty2Tarannum Jaleel3School of Medicine, Duke University, Durham, NC 27710, USASchool of Medicine, Duke University, Durham, NC 27710, USADepartment of Dermatology, Duke University, Durham, NC 27710, USADepartment of Dermatology, Duke University, Durham, NC 27710, USAHidradenitis Suppurativa (HS) is a debilitating cutaneous disease characterized by a vicious cycle of chronic inflammation and tissue destruction that stems from disruption of the skin microbiome and abnormal activation of both the innate and adaptive immune system. A hallmark of HS pathophysiology is dysregulation of both the innate and adaptive immune system. The role of immune system dysregulation in HS development has motivated researchers to explore the utility of biologic immunomodulators. In 2015, adalimumab, a tumor necrosis factor-α inhibitor, was approved by the Food and Drug Administration (FDA) for treatment of moderate-to-severe HS in the US. In 2023, secukinumab, an interleukin-17A (IL-17A) inhibitor, was approved by the European Medicines Agency for treatment of moderate-to-severe HS in Europe. Ongoing clinical trials have shown promising clinical responses to targeted therapies against other pro-inflammatory cytokines including IL-17, IL-12, IL-1, IL-36, IL-6, IL-10, interferon γ, C5a, and Janus kinase (JAK). We provide an update on the efficacy and clinical usage of targeted biologics in HS treatment.https://www.mdpi.com/2673-5601/4/1/4immune dysregulationbiologicshidradenitis suppurativaadalimumabinfliximabsecukinumab
spellingShingle Rene Chen
Robyn Guo
Amy J. Petty
Tarannum Jaleel
Immune Dysregulation and Current Targeted Biologics in Hidradenitis Suppurativa
Immuno
immune dysregulation
biologics
hidradenitis suppurativa
adalimumab
infliximab
secukinumab
title Immune Dysregulation and Current Targeted Biologics in Hidradenitis Suppurativa
title_full Immune Dysregulation and Current Targeted Biologics in Hidradenitis Suppurativa
title_fullStr Immune Dysregulation and Current Targeted Biologics in Hidradenitis Suppurativa
title_full_unstemmed Immune Dysregulation and Current Targeted Biologics in Hidradenitis Suppurativa
title_short Immune Dysregulation and Current Targeted Biologics in Hidradenitis Suppurativa
title_sort immune dysregulation and current targeted biologics in hidradenitis suppurativa
topic immune dysregulation
biologics
hidradenitis suppurativa
adalimumab
infliximab
secukinumab
url https://www.mdpi.com/2673-5601/4/1/4
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AT robynguo immunedysregulationandcurrenttargetedbiologicsinhidradenitissuppurativa
AT amyjpetty immunedysregulationandcurrenttargetedbiologicsinhidradenitissuppurativa
AT tarannumjaleel immunedysregulationandcurrenttargetedbiologicsinhidradenitissuppurativa