Emerging cytokine targets in rheumatoid arthritis.

Abstract:

PURPOSE OF REVIEW:The utility of cytokines as therapeutic targets in rheumatoid arthritis has been unequivocally demonstrated by the success of tumour necrosis factor blockade in clinical practice. Partial and non-responses to tumour necrosis factor blocking agents, however, together with the increasing clinical drive to remission induction, requires that further therapeutic targets be identified. RECENT FINDINGS:Numerous cytokine activities with pathogenetic potential have now been demonstrated in rheumatoid arthritis synovial membrane, including members of the IL-1 superfamily and the IL-12 superfamily. Continued efforts are ongoing to target IL-6 and IL-15 in clinical trials with promising data emerging. There is particular interest in the biology of IL-17 and of the recently described IL-32 as critical effector mediators. SUMMARY:Novel cytokine activities are emerging on an ongoing basis. There remain difficulties in ascribing the optimal regulatory hierarchy for given moieties on the basis of existing preclinical model systems. This in turn poses novel challenges in determining which cytokines represent the best therapeutic targets.

journal_name

Curr Opin Rheumatol

authors

Asquith DL,McInnes IB

doi

10.1097/BOR.0b013e3280eec78c

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

246-51

issue

3

eissn

1040-8711

issn

1531-6963

pii

00002281-200705000-00004

journal_volume

19

pub_type

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