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Title JAK阻害薬のJAK選択性と有用性
Subtitle 特集 関節リウマチの基礎・臨床 2021 Update
Authors 森信暁雄
Authors (kana)
Organization 京都大学大学院医学研究科内科学講座臨床免疫学
Journal Pharma Medica
Volume 39
Number 2
Page 53-57
Year/Month 2021 / 2
Article 報告
Publisher メディカルレビュー社
Abstract 「はじめに」生物学的製剤の登場により関節リウマチ(rheumatoid arthritis:RA)の治療はこの20年間で劇的に変化した. 3系統の生物学的製剤に加え, わが国では, 2013年にはJAK(Janus kinase)阻害薬であるトファシチニブ(tofacitinib)が発売されたのを皮切りに, 現在5種類のJAK阻害薬が承認されている. JAK阻害薬は, 細胞内のリン酸化酵素であるJAKの働きを抑制する. JAKには4種類あるが, JAK阻害薬は各々のJAKを異なる選択性で抑制する. この選択性の違いがどのような意味をもつのかについて基礎的臨床的立場から考察する. 「I. JAK阻害薬の作用機序」サイトカインは, その構造や受容体の構造により分類される.
Practice 薬学
Keywords JAK阻害薬, JAK選択性, サイトカイン, 関節リウマチ
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残りの11件を表示する
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