The application of interleukin-17 (IL-17) inhibitors, including secukinumab, ixekizumab, brodalumab, and bimekizumab, are associated with elevated risk of candidiasis. These medications interfere with the IL-17 pathway, which is essential for maintaining mucosal barriers and coordinating the immune response against Candida species. The observational data and clinical trials demonstrate the increased incidence of candidiasis in individuals treated with IL-17 inhibitors. Brodalumab and bimekizumab pose a greater risk than secukinumab in eliciting candidiasis, whereas the data regarding ixekizumab are equivocal. Higher doses and prolonged treatment duration of IL-17 inhibitors increase the risk of candidiasis by compromising the immune response against Candida species. Prior to prescribing IL-17 inhibitors, healthcare professionals should comprehensively evaluate patients' medical histories and assess their risk factors. Patients should be educated on the signs and symptoms of candidiasis to facilitate early detection and intervention. Future research should focus on identifying the risk factors associated with candidiasis in patients receiving IL-17 inhibitors. Prospective studies and long-term surveillance are required to explore the impact of specific inhibitors on the incidence and severity of candidiasis and to evaluate the effectiveness of combination therapies, such as concurrent use of IL-17 inhibitors and prophylactic antifungal agents.
第一作者机构:[1]Shantou Univ, Dept Cardiol, Affiliated Hosp 2, Med Coll, Shantou, Peoples R China
通讯作者:
通讯机构:[11]Sichuan Univ, West China Univ Hosp 2, Dept Dermatol, Chengdu, Sichuan, Peoples R China[*1]Department of Dermatology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610021, China
推荐引用方式(GB/T 7714):
Bilal Hazrat,Khan Muhammad Nadeem,Khan Sabir,et al.Risk of candidiasis associated with interleukin-17 inhibitors: implications and management[J].MYCOLOGY-AN INTERNATIONAL JOURNAL ON FUNGAL BIOLOGY.2024,15(1):30-44.doi:10.1080/21501203.2023.2265664.
APA:
Bilal, Hazrat,Khan, Muhammad Nadeem,Khan, Sabir,Fang, Wenjie,Chang, Wenqiang...&Zeng, Yuebin.(2024).Risk of candidiasis associated with interleukin-17 inhibitors: implications and management.MYCOLOGY-AN INTERNATIONAL JOURNAL ON FUNGAL BIOLOGY,15,(1)
MLA:
Bilal, Hazrat,et al."Risk of candidiasis associated with interleukin-17 inhibitors: implications and management".MYCOLOGY-AN INTERNATIONAL JOURNAL ON FUNGAL BIOLOGY 15..1(2024):30-44