中华皮肤科杂志 ›› 2024, e20230448.doi: 10.35541/cjd.20230448

• 综述 • 上一篇    

阿普米司特在斑块状银屑病治疗中的研究进展

朱婷婷    张学军   

  1. 安徽医科大学第一附属医院皮肤性病科  安徽医科大学皮肤病研究所,合肥  230022
  • 收稿日期:2023-08-03 修回日期:2023-11-02 发布日期:2024-02-06
  • 通讯作者: 张学军 E-mail:ayzxj@vip.sina.com

Apremilast in the treatment of plaque psoriasis

Zhu Tingting, Zhang Xuejun   

  1. Department of Dermatology, the First Affiliated Hospital of Anhui Medical University, Institute of Dermatology, Anhui Medical University, Hefei 230022, China
  • Received:2023-08-03 Revised:2023-11-02 Published:2024-02-06
  • Contact: Zhang Xuejun E-mail:ayzxj@vip.sina.com

摘要: 【摘要】 银屑病是多种免疫细胞介导的慢性、炎症性、系统性疾病。阿普米司特是一种口服小分子磷酸二酯酶(PDE4)抑制剂,抑制细胞内的PDE4活性,间接提高细胞内环磷酸腺苷水平,平衡促炎因子和抗炎因子的表达,从而恢复自身免疫的稳态,达到治疗银屑病的目的。本文综述阿普米司特治疗斑块状银屑病的有效性、在特殊人群中的应用以及安全性。

关键词: 银屑病, 磷酸二酯酶4抑制剂, 环核苷酸磷酸二酯酶类, 阿普米司特, 有效性

Abstract: 【Abstract】 Psoriasis is a chronic inflammatory systemic disease induced by multiple immune cells. Apremilast, an orally administered small-molecule phosphodiesterase 4 inhibitor, is effective in the treatment of psoriasis by inhibiting the activity of intracellular phosphodiesterase 4, indirectly elevating intracellular cyclic adenosine monophosphate levels, achieving a balance between the expression of pro-inflammatory and anti-inflammatory factors, and thus restoring immune homeostasis. This review summarizes the efficacy and safety of apremilast in the treatment of plaque psoriasis and its application in special populations.

Key words: Psoriasis, Phosphodiesterase 4 inhibitors, Cyclic nucleotide phosphodiesterases, Apremilast, Efficacy

引用本文

朱婷婷 张学军. 阿普米司特在斑块状银屑病治疗中的研究进展[J]. 中华皮肤科杂志, 2024,e20230448. doi:10.35541/cjd.20230448

Zhu Tingting, Zhang Xuejun. Apremilast in the treatment of plaque psoriasis[J]. Chinese Journal of Dermatology,2024,e20230448. doi:10.35541/cjd.20230448