Biological drugs in the therapy of atopic dermatitis and bronchial asthma: focus on dupilumab

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Abstract

Significant progress has been made over the past decade in the treatment of allergic diseases such as atopic dermatitis and bronchial asthma. Dupilumab, which targets interleukin IL-4 and IL-13, has become an innovative targeted therapy. Immunobiologic therapy with the interleukin inhibitor is indicated for patients with moderate to severe uncontrolled atopic dermatitis, moderate to severe eosinophilic phenotype of uncontrolled Bronchial asthma and patients with poorly controlled severe chronic polyposis rhinosinusitis. A clinical case and recent data on the use of dupilumab for the treatment of type 2 inflammatory disease and prospects for its use are discussed.

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About the authors

Vera A. Reviakina

Federal Research Center for Nutrition and Biotechnology

Email: 5356797@mail.ru
ORCID iD: 0000-0002-1149-7927

D. Sci. (Med.), Prof., Federal Research Center for Nutrition and Biotechnology

Russian Federation, Moscow

Natalia A. Geppe

Sechenov First Moscow State Medical University (Sechenov University)

Email: geppe@mail.ru
ORCID iD: 0000-0003-0547-3686

D. Sci. (Med.), Prof., Sechenov First Moscow State Medical University (Sechenov University)

Russian Federation, Moscow

Aleksandr B. Malakhov

Sechenov First Moscow State Medical University (Sechenov University); Morozov Children's City Clinical Hospital

Email: alexis4591m@mail.ru
ORCID iD: 0000-0002-2686-8284

D. Sci. (Med.), Prof., Sechenov First Moscow State Medical University (Sechenov University), Morozov Children's City Clinical Hospital

Russian Federation, Moscow; Moscow

Oleg V. Kaliuzhin

Sechenov First Moscow State Medical University (Sechenov University)

Email: kalyuzhin@list.ru
ORCID iD: 0000-0003-3628-2436

D. Sci. (Med.), Prof., Sechenov First Moscow State Medical University (Sechenov University)

Russian Federation, Moscow

Natalia G. Astaf'eva

Razumovsky Saratov State Medical University

Email: astang@mail.ru
ORCID iD: 0000-0002-7691-4584

D. Sci. (Med.), Prof., Razumovsky Saratov State Medical University

Russian Federation, Saratov

Natalia G. Kolosova

Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: kolosovan@mail.ru
ORCID iD: 0000-0001-5071-9302

Cand. Sci. (Med.), Sechenov First Moscow State Medical University (Sechenov University)

Russian Federation, Moscow

Mariia A. Malakhova-Kapanadze

Kolomna Central District Hospital

Email: kolosovan@mail.ru

Deputy Chief doctor, Kolomna Central District Hospital

Russian Federation, Kolomna

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Supplementary files

Supplementary Files
Action
1. Fig. 1. Global Strategy for asthma management and prevention. Update 2021.

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2. Fig. 2. The GINA 2021 asthma treatment strategy.

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3. Fig. 3. Mechanism of dupilumab in type 2 inflammation. (Allergy 2020; 75, 7).

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4. Fig. 4. Dupilumab reduced annualized rate of servere exacerbations versus placebo in children 6–11 years of age.

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5. Scheme 1.

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6. Scheme 2.

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7. Scheme 3.

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