Immunopathological complications of anti-TNF-α biological treatment

Česká verzia

Authors: K. Malíčková
Authors place of work: Klinická imunologie a alergologie – laboratoř, Ústav lékařské biochemie a laboratorní diagnostiky, 1. LF UK a VFN v Praze
Published in the journal: Gastroent Hepatol 2016; 70(1): 45-50
Category: IBD: Review Article
doi: https://doi.org/10.14735/amgh2016/csgh.info02

Summary

Biological treatments employing therapeutic monoclonal antibodies against TNF-α are very eff ective and safe, and the side effects of such treatments are usually mild and well-tolerated. However, such treatments are sometimes associated with severe acute and chronic side effects, which have been attributed to secondary immunopathologies induced by TNF-α blockage. Early and delayed hypersensitivity reactions to therapeutic immunoglobulins are most frequent, as well as reactions associated with induced imbalances of the immune system. Cytokine imbalance or antigen cross-reactivity is significantly rarer. This paper reviews the classifi cation and immunopathological complications of anti-TNF-α blockers.

Key words:
infliximab – adalimumab – TNF-α – inflammatory bowel diseases

The author declares he has no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
3. 12. 2015

Accepted:
29. 12. 2015

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