№ 18Immunology14 min read
Biological treatment
1. Big picture
Biological treatment means using engineered proteins, usually monoclonal antibodies or receptor-fusion proteins, to target a specific immune pathway. Unlike corticosteroids or classic immunosuppressants, biologics are selective: they block one cytokine, receptor, immune cell, complement component, or co-stimulatory signal.
Exam core idea:
Conventional DMARDs = broad immune modulation
Steroids = fast anti-inflammatory rescue
Biologics = targeted immune pathway blockade
Biologics are used when disease is moderate–severe, organ-threatening, refractory to conventional treatment, or steroid-dependent.
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