pubmed-article:15807842 | rdf:type | pubmed:Citation | lld:pubmed |
pubmed-article:15807842 | lifeskim:mentions | umls-concept:C0003873 | lld:lifeskim |
pubmed-article:15807842 | lifeskim:mentions | umls-concept:C0087111 | lld:lifeskim |
pubmed-article:15807842 | pubmed:issue | 2 | lld:pubmed |
pubmed-article:15807842 | pubmed:dateCreated | 2005-4-5 | lld:pubmed |
pubmed-article:15807842 | pubmed:abstractText | Rheumatoid arthritis (RA) is a chronic, systemic inflammatory disease, which continues to cause significant morbidity in affected persons. In the past few years, a number of new exciting therapeutic options have become available. These reflect the application of knowledge obtained from advancements in understanding of disease pathogenesis and underlying molecular mechanisms. A number of these therapies are outlined in the following review, including the various biological modifiers, in particular, anti-tumour necrosis factor-alpha agents and interleukin-1 (IL-1) receptor antagonists, which have been developed in recognition of the role of pro-inflammatory cytokines in RA. Also notable, is the current interest centring on the development and trials with B cell depletion therapies, specifically rituximab, in patients with RA. This demonstrates acknowledgment for a more significant role for B cells in the aetiology of RA, in contrast to the long held view that RA was a predominantly T cell mediated disease. To evaluate this therapeutic option for RA, salient features from recent rituximab trials have been collated. Finally, a selection of other therapeutic alternatives, including anti-IL-6 receptor monoclonal antibody and tacrolimus, and newer anti-rheumatic therapies presently in development are summarized. | lld:pubmed |
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