Skip to main content

Biologics

  • Chapter
  • First Online:
  • 1257 Accesses

Abstract

Modern advances in our understanding of immunologic processes, along with discoveries in disease pathophysiology, have led to the development of innovative therapeutic tools. In several fields of medicine, biologic response modifiers, selective immunoregulatory drugs, or simply biologics are now being used in the treatment of conditions for which either no other effective therapies exist or the existing therapies provide substandard therapeutic results. Biologic agents comprise a variety of medicinal products already in use, such as vaccines, human cells and tissues, recombinant therapeutic proteins, allergenic products, blood components, and human gene therapy products. The term biologics, however, is more commonly used to describe a class of medications produced by means of biological processes involving recombinant DNA technology. These are immunoregulators and bioengineered proteins, such as fusion proteins, chimeric or fully humanized monoclonal antibodies, or recombinant cytokines that directly interfere with the pathological effects of T cells.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Alexis AF, Strober BE. Off-label dermatologic uses of anti-TNF-α therapies. J Cutan Med Surg. 2005;9:296-302

    Article  PubMed  Google Scholar 

  2. Biogen Inc. Amevive (alefacept), package insert. 2008

    Google Scholar 

  3. Desai SB, Furst DE. Problems encountered during anti-tumour necrosis factor therapy. Best Pract Res Clin Rheumatol. 2006;20(4):757-790

    Article  PubMed  CAS  Google Scholar 

  4. Immunex Corporation. Enbrel (etarnecept), package insert. 2008

    Google Scholar 

  5. National Psoriasis Foundation. Flu vaccines warranted for psoriasis patients. 2004. At: www.psoriasis.org; 2008 Accessed 15.01.08

  6. Jackson Mark J. TNF-α inhibitors. Dermatol Ther. 2007; 20(4):251-264

    Article  PubMed  CAS  Google Scholar 

  7. Rott S, Mrowietz U. Recent developments in the use of biologics in psoriasis and autoimmune disorders. The role of antibodies. BMJ. 2005;330:716-720

    Article  PubMed  CAS  Google Scholar 

  8. Tandon VR, Mahajan A, Khajuria V, Kapoor V. Biologics and challenges ahead for the physician. Indian Acad Clin Med. 2006;7(4):334-343

    Google Scholar 

  9. Robinson WH, Genovese MC, Moreland LW. Demyelinating and neurological events reported in association with tumor necrosis factor alpha antagonism: by what mechanisms could tumor necrosis alpha antagonists improve rheumatoid arthritis but exacerbate multiple sclerosis. Arthritis Rheum. 2001;44:1977-1983

    Article  PubMed  CAS  Google Scholar 

  10. Suissa S, Ernst P, Hudson M, et al Newer disease modifying antirheumatic drugs and the risk of serious hepatic adverse events in patients with rheumatoid arthritis. Am J Med. 2004;117(2):87-92

    Article  PubMed  CAS  Google Scholar 

  11. Centocor. Remicade (infliximab), package insert. 2007

    Google Scholar 

  12. Tobon GJ, Cañas C, Jaller JJ, et al Serious liver disease induced by infliximab. Clin Rheumatol. 2007;26(4):578-581

    Article  PubMed  Google Scholar 

  13. United States Food and Drug Administration. Safety alerts for drugs, biologics medical devices, and dietary supplements. Remicade (infliximab). Washington, DC: FDA, 2004. At: http://www.fda.gov/medwatch/SAFETY/2004/safety04.htm#Remicade2; 2008 Accessed 2.02.08

  14. Thiele DL. Is anti-TNF therapy safe in patients with rheumatic disease who also have concurrent B or C chronic hepatitis? Nat Clin Pract Rheumatol. 2007;3:130-131

    Article  PubMed  Google Scholar 

  15. Roux CH, Brocq O, Breuil V, et al Safety of anti-TNF-α therapy in rheumatoid arthritis and spondylarthropathies with concurrent B or C chronic hepatitis. Rheumatology. 2006;45(10):1294-1297

    Article  PubMed  CAS  Google Scholar 

  16. Eriksson C, Engstrand S, Sunddqvist KG, Rantapaa-Dahlqvist S. Autoantibody formation in patients with rheumatoid arthritis treated with anti-TNF alpha. Ann Rheum Dis. 2005;64:403-407

    Article  PubMed  CAS  Google Scholar 

  17. Vermeire S, Noman M, Van Assche G, et al Autoimmunity associated with anti-tumor necrosis factor alpha treatment in Crohn’s disease: a prospective cohort study. Gastroenterology. 2003;125(1):32-39

    Article  PubMed  CAS  Google Scholar 

  18. Pathare SK, Heycock C, Hamilton J. TNFa blocker-induced thrombocytopenia. Rheumatology. 2006;45(10):1313-1314

    Article  PubMed  CAS  Google Scholar 

  19. Wolfe F, Michaud K. The effect of methotrexate and anti-tumor necrosis factor therapy on the risk of lymphoma in rheumatoid arthritis in 19, 562 patients during 89, 710 person-years of observation. Arthritis Rheum. 2007;56: 1433-1439

    Article  PubMed  CAS  Google Scholar 

  20. Gelfand JM, Berlin J, Van Voorhees A, Margolis DJ. Lymphoma rates are low but increased in patients with psoriasis: results from a population-based cohort study in the United Kingdom. Arch Dermatol. 2003;139(11):1425-1429

    Article  PubMed  Google Scholar 

  21. Lindelöf B, Sigurgeirsson B, Tegner E, et al. PUVA and cancer: a large-scale epidemiological study. Lancet. 1991;338 (8759):91-93

    Article  PubMed  Google Scholar 

  22. Baert F, De Vos M, Louis M, et al. Immunogenicity of infliximab: how to handle the problem? Acta Gastroenterol Belg. 2007;70(2):163-170

    PubMed  Google Scholar 

  23. Augustsson J, Eksborg S, Ernestam S, et al Low-dose glucocorticoid therapy decreases risk for treatment-limiting infusion reaction to infliximab in patients with rheumatoid arthritis. Ann Rheum Dis. 2007;66:1462-1466

    Article  PubMed  CAS  Google Scholar 

  24. Abbot Laboratories. Humira (adalimumab), package insert. 2008

    Google Scholar 

  25. Ledingham J, Wilkinson C, Deighton C. British thoracic society (BTS) recommendations for assessing risk and managing tuberculosis in patients due to start anti-TNF-α treatments. Rheumatology. 2005;44(10):1205-1206

    Article  PubMed  CAS  Google Scholar 

  26. Menter A, Hamilton TK, Toth DP, et al Transitioning patients from efalizumab to alternate psoriasis therapies: findings from an open-label, multicenter, Phase IIIb study. Int J Dermatol. 2007;46(6):637-648

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Panoglotis Mitropoulos .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag London

About this chapter

Cite this chapter

Mitropoulos, P., Norman, R.A. (2011). Biologics. In: Norman, R. (eds) Preventive Dermatology. Springer, London. https://doi.org/10.1007/978-1-84996-021-2_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-84996-021-2_10

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84996-020-5

  • Online ISBN: 978-1-84996-021-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics