One-year inhibition of tumor necrosis factor-alpha: a major success or a larger puzzle?

Abstract:

:The concept suggesting the involvement of the proinflammatory cytokine tumor necrosis factor (TNF)-alpha in the pathogenesis of rheumatoid arthritis (RA) has been demonstrated by several clinical trials targeting TNF-alpha. In addition to reduction of pain and swelling, a dramatic effect of TNF blocking therapies on the progression of joint destruction was shown. Nevertheless, complete remissions of the disease are rare even with these powerful therapeutic agents, and the optimal doses and dosage intervals of TNF blockers remain to be determined. Some insights into the pathogenesis of RA are provided by studying the effects of therapeutic TNF blockade on the biology of the disease. The fact that inflammation is not completely halted and destruction is ongoing in some patients suggests that other mechanisms may also be involved, including other cytokines such as interleukin-1 and interleukin-6. In addition to the necessity of understanding the pathogenic events proximal to TNF-alpha induction, pharmacologic intervention with small molecules in the TNF signaling pathways may constitute a promising strategy.

journal_name

Curr Opin Rheumatol

authors

Graninger WB,Smolen JS

doi

10.1097/00002281-200105000-00010

keywords:

subject

Has Abstract

pub_date

2001-05-01 00:00:00

pages

209-13

issue

3

eissn

1040-8711

issn

1531-6963

journal_volume

13

pub_type

杂志文章,评审
  • AGEing and osteoarthritis: a different perspective.

    abstract:PURPOSE OF REVIEW:Across the world, osteoarthritis is the most commonly occurring musculoskeletal disease of the elderly, affecting more than 25% of the population older than 60 years of age. By far the single greatest risk factor for the development of osteoarthritis is age, but a mechanism to explain this relation ha...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200309000-00016

    authors: Verzijl N,Bank RA,TeKoppele JM,DeGroot J

    更新日期:2003-09-01 00:00:00

  • Infections and vasculitis.

    abstract:PURPOSE OF REVIEW:To review recent evidence for infection rates in patients with systemic vasculitides, the role of specific infectious agents in the pathogenesis of vasculitis and recent breakthroughs in the treatment of virus-associated vasculitides. RECENT FINDINGS:In well designed recent studies, infections were f...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000348

    authors: Thomas K,Vassilopoulos D

    更新日期:2017-01-01 00:00:00

  • Strontium ranelate: a dual mode of action rebalancing bone turnover in favour of bone formation.

    abstract::The increased bone remodeling in women after menopause induces an imbalance between bone resorption and formation, leading to decreased bone mass, altered bone microarchitecture, and increased fracture risk. Current antiosteoporotic drugs decrease bone remodeling or increase bone formation. Strontium ranelate (Protelo...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章

    doi:10.1097/01.bor.0000229522.89546.7b

    authors: Marie PJ

    更新日期:2006-06-01 00:00:00

  • The novel interleukin-1 cytokine family members in inflammatory diseases.

    abstract:PURPOSE OF REVIEW:This review provides an update on the new interleukin-1 (IL-1) cytokine family members in inflammatory diseases with focus on recent findings concerning the family members IL-36, IL-37, and IL-38 and their different expression patterns. RECENT FINDINGS:The IL-1 cytokines are known to be involved in m...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000361

    authors: Hahn M,Frey S,Hueber AJ

    更新日期:2017-03-01 00:00:00

  • Innate immunity in host-microbial interactions: beyond B27 in the spondyloarthropathies.

    abstract::The spondyloarthropathies are diseases influenced by genetic predisposition and, to a varying extent, infectious triggers. A causal role for bacterial infections is most clear for reactive arthritis. Recent insights into arthritogenic components of bacteria may set the stage for a better understanding of disease patho...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200207000-00007

    authors: Pacheco-Tena C,Zhang X,Stone M,Burgos-Vargas R,Inman RD

    更新日期:2002-07-01 00:00:00

  • Emergence and treatment of chikungunya arthritis.

    abstract:PURPOSE OF REVIEW:To review the emergence, clinical features, pathogenesis, and treatment of acute chikungunya (CHIK) fever and chronic CHIK arthritis. RECENT FINDINGS:Since 2004, CHIK, an arboviral infection, has spread throughout the world, infecting millions of people. The illness occurs in two phases: an acute vir...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000486

    authors: Sutaria RB,Amaral JK,Schoen RT

    更新日期:2018-05-01 00:00:00

  • Microchimerism and systemic sclerosis.

    abstract:PURPOSE OF REVIEW:Although 6 years have elapsed since the initial report describing the presence of microchimeric cells in affected tissues from patients with systemic sclerosis, a mechanism by which these cells might contribute to the pathogenesis of the disease is still unknown. This article reviews the published lit...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000145516.45854.7b

    authors: Jimenez SA,Artlett CM

    更新日期:2005-01-01 00:00:00

  • Genetics of gout.

    abstract:PURPOSE OF REVIEW:This review provides an update on recent findings with regards to the genetics of hyperuricemia and gout, including recent data from genome-wide association studies (GWAS). RECENT FINDINGS:Five GWAS around the same time reported that genetic variants of SLC2A9/GLUT9 were associated with lower serum u...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32833645e8

    authors: Choi HK,Zhu Y,Mount DB

    更新日期:2010-03-01 00:00:00

  • Heritable disorders of connective tissue and disability and chronic disease in childhood.

    abstract::The heritable disorders of connective tissue encompass a broad range of diseases, many of which occur in childhood and present to the pediatric rheumatologist's attention. The underlying theme of these disorders is fragility of connective tissue components such as bone, cartilage, and blood vessels. Over the past few ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Tucker LB

    更新日期:1992-10-01 00:00:00

  • Cardiovascular involvement in myositis.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to provide an update on cardiovascular involvement in idiopathic inflammatory myopathy (IIM). Studies from the past 18 months are identified and reviewed. Finally, the clinical impact of these findings is discussed. RECENT FINDINGS:Epidemiological studies have revealed a...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000442

    authors: Diederichsen LP

    更新日期:2017-11-01 00:00:00

  • Ankylosing spondylitis: beyond genome-wide association studies.

    abstract:PURPOSE OF REVIEW:This article discusses genomic investigations in ankylosing spondylitis (AS) beyond genome-wide association (GWA) studies, but prior to this, genetic variants achieving genome-wide significance will be summarized highlighting key pathways contributing to disease pathogenesis. RECENT FINDINGS:Evidence...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000297

    authors: O'Rielly DD,Uddin M,Rahman P

    更新日期:2016-07-01 00:00:00

  • Spectrum of immune-mediated necrotizing myopathies and their treatments.

    abstract:PURPOSE OF REVIEW:This review aims to describe the spectrum of clinical, histological, and serological features in patients with immune-mediated necrotizing myopathies (IMNMs). RECENT FINDINGS:Autoantibodies recognizing the signal recognition particle (SRP) or 3-hydroxy-3-methylglutaryl-CoA reductase (HMGCR) define tw...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000335

    authors: Pinal-Fernandez I,Mammen AL

    更新日期:2016-11-01 00:00:00

  • Recognizing and managing comorbidities in psoriatic arthritis.

    abstract:PURPOSE OF REVIEW:Many patients with psoriatic arthritis (PsA) have additional medical problems that can have an impact on morbidity and mortality. The goal of this review is to summarize the available evidence to date on the association of medical comorbidities with PsA and the implications these comorbidities have on...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000152

    authors: Ogdie A,Schwartzman S,Husni ME

    更新日期:2015-03-01 00:00:00

  • Laboratory changes on anti-tumor necrosis factor treatment in rheumatoid arthritis.

    abstract::Tumor necrosis factor-alpha, acting through its receptors expressed on all cells of the body, is a key mediator of inflammation and immunity. However, its overproduction may also lead to pathologic changes. The latter situation occurs often in chronic inflammatory diseases such as rheumatoid arthritis. The concept sug...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200305000-00014

    authors: Ziolkowska M,Maslinski W

    更新日期:2003-05-01 00:00:00

  • Behçet's disease.

    abstract::Recent studies have revealed the important role of streptococci in the etiology of Behçet's disease. Among patients with Behçet's disease, there is a high incidence of a history of streptococcal infections. Certain antigens of streptococci induced not only cutaneous, delayed-type hypersensitivity, but also systemic at...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Mizushima Y

    更新日期:1991-02-01 00:00:00

  • Chronic periaortitis: a large-vessel vasculitis?

    abstract:PURPOSE OF REVIEW:Chronic periaortitis is characterized by a fibro-inflammatory process spreading from the abdominal aorta and the iliac arteries. Originally, chronic periaortitis was considered a localized inflammatory response to severe aortic atherosclerosis. However, subsequent studies have shown that chronic peria...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e328341137d

    authors: Vaglio A,Pipitone N,Salvarani C

    更新日期:2011-01-01 00:00:00

  • Raynaud phenomenon and the vascular disease in scleroderma.

    abstract:PURPOSE OF REVIEW:Raynaud phenomenon is the earliest and most common clinical manifestations of scleroderma (systemic sclerosis). Therefore, Raynaud phenomenon offers the best window into the investigation of the early steps in the pathogenesis of systemic sclerosis. This review focuses on the differential diagnosis of...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000138677.88694.a4

    authors: Kahaleh MB

    更新日期:2004-11-01 00:00:00

  • Autoantibodies in idiopathic inflammatory myopathy: an update on clinical and pathophysiological significance.

    abstract:PURPOSE OF REVIEW:Idiopathic inflammatory myopathy is characterized by the production of autoantibodies to various cellular constituents. These autoantibodies closely correlate with certain clinical conditions and prognosis of disease. This review examines recent progress in myositis-specific autoantibodies, particular...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3282f01a8c

    authors: Mimori T,Imura Y,Nakashima R,Yoshifuji H

    更新日期:2007-11-01 00:00:00

  • Clinical features of osteoarthritis, diffuse idiopathic skeletal hyperostosis, and hypermobility syndromes.

    abstract::In 1990, there were signs of a renewed interest in clinical studies about several aspects of osteoarthritis. The work-up of classic data and the use of new information from epidemiologic surveys as well as careful radiographic monitoring of selected groups of patients have brought us broader views on the general cours...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199108000-00017

    authors: Peyron JG

    更新日期:1991-08-01 00:00:00

  • Cognitive and physical measures in rehabilitation of patients with lupus.

    abstract::During the past 2 years, four papers describing new research studies and three papers reviewing the literature were published. These seven papers address longstanding issues, including 1) the presence or absence of cognitive impairment in systemic lupus erythematosus (SLE), 2) the prevalence of such impairment within ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199809000-00008

    authors: Bleiberg J,Bunning R

    更新日期:1998-09-01 00:00:00

  • Lyme disease.

    abstract::The number of reported cases of Lyme disease in the United States has increased steadily since 1982, and the increase coincides with a growth in deer populations in endemic regions. Application of careful epidemiologic principles has led to the identification of two new pathogens that produce syndromes closely related...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199707000-00010

    authors: Evans J

    更新日期:1997-07-01 00:00:00

  • The association between hepatitis B, hepatitis C and systemic sclerosis: a cross-sectional study.

    abstract:PURPOSE OF REVIEW:To investigate the association between systemic sclerosis (SSc) to chronic hepatitis B virus (HBV) and hepatitis C virus (HCV) carriage. We utilized the database of Clalit Health Services, the largest healthcare organization in Israel and performed a cross-sectional study. RECENT FINDINGS:The study i...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BOR.0000000000000623

    authors: Tiosano S,Cohen AD,Amital H

    更新日期:2019-09-01 00:00:00

  • Joint hypermobility syndromes.

    abstract::Inherited connective tissue disorders, among them Ehlers-Danlos syndrome, osteogenesis imperfecta, Marfan syndrome, and Larsen syndrome, are characterized by generalized joint hypermobility. Others, such as Morquio syndrome or achondroplasia, have hypermobility in a more limited distribution. Recent clinical and molec...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199609000-00012

    authors: Raff ML,Byers PH

    更新日期:1996-09-01 00:00:00

  • Relationship between joint shape and the development of osteoarthritis.

    abstract:PURPOSE OF REVIEW:To present an updated summary of the relationship between joint shape and the development of osteoarthritis, with a particular focus on osteoarthritis of the hip. RECENT FINDINGS:Osteoarthritis of the hip is highly heritable, with a genetic contribution estimated at 60%. Among the genes that have bee...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32833d20ae

    authors: Baker-LePain JC,Lane NE

    更新日期:2010-09-01 00:00:00

  • Advances in the treatment of juvenile dermatomyositis.

    abstract:PURPOSE OF REVIEW:Juvenile dermatomyositis is a rare chronic inflammatory disease that primarily affects the muscles and skin. Immunosuppressive therapy has played a very important role in reducing mortality rates and morbidity. The review focuses on the spectrum of medications currently used in the treatment of juveni...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章

    doi:10.1097/01.bor.0000240362.32089.4c

    authors: Stringer E,Feldman BM

    更新日期:2006-09-01 00:00:00

  • Autoimmune pancreatitis and IgG4-related sclerosing cholangitis.

    abstract:PURPOSE OF REVIEW:Autoimmune pancreatitis (AIP) is a peculiar type of pancreatitis with a presumed autoimmune etiology. AIP is frequently associated with stenosis of the bile duct in the form of IgG4-related sclerosing cholangitis. This article reviews recent advances in clinicopathological findings for AIP and IgG4-re...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3283412f60

    authors: Takuma K,Kamisawa T,Igarashi Y

    更新日期:2011-01-01 00:00:00

  • Myositis mimics: how to recognize them.

    abstract:PURPOSE OF REVIEW:To help clinicians to distinguish between myositis (and other immune-mediated and immunosuppressant-responsive disorders) and its many clinical mimics. RECENT FINDINGS:Increasing experience has shown that findings from conventional investigations, such as muscle biopsy, can be misleading. More specia...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000101

    authors: Hilton-Jones D

    更新日期:2014-11-01 00:00:00

  • Immune checkpoint inhibitors and vasculitis.

    abstract:PURPOSE OF REVIEW:Clinical use of immune checkpoint inhibitor (ICI) therapy has revolutionized the therapeutic landscape of cancer. By activating the immune system using monoclonal anti-CTLA-4 and PD(L)-1 antibodies, remission can be induced in previously terminal cancers. However, these breakthroughs come at a price. ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000672

    authors: Boland P,Heath J,Sandigursky S

    更新日期:2020-01-01 00:00:00

  • Biomarkers of inclusion body myositis.

    abstract:PURPOSE OF REVIEW:Inclusion body myositis (IBM) is a poorly understood autoimmune and degenerative disorder of skeletal muscle. Here, pathophysiological and diagnostic biomarkers of IBM are reviewed. RECENT FINDINGS:Muscle histopathological biomarkers have been successful in stimulating the study of IBM pathophysiolog...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/01.bor.0000434665.75998.f5

    authors: Greenberg SA

    更新日期:2013-11-01 00:00:00

  • New insights into renal transport of urate.

    abstract:PURPOSE OF REVIEW:This review focuses on recent progress in the understanding of various aspects of renal transport of urate. RECENT FINDINGS:Since the molecular cloning of the renal apical urate/anion exchanger URAT1 (SLC22A12), several membrane proteins relevant to the transport of urate have been identified. The mo...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e328032781a

    authors: Anzai N,Kanai Y,Endou H

    更新日期:2007-03-01 00:00:00