Metabolic syndrome and chronic arthritis: effects of anti-TNF-α therapy.

Abstract:

:TNF-α plays a key role in the inflammatory cytokine cascade involved in the pathogenesis of chronic arthritis, including rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis. Systemic inflammation and the increased production of pro-inflammatory cytokines in these patients may favor the onset of metabolic syndrome. In patients affected by chronic arthritis, TNF-α is considered as one of the factors responsible for favouring insulin resistance and dyslipidemia, which are important features of the metabolic syndrome. Even if TNF-α is a single player in the great molecular cauldron of inflammation, the use of TNF-α inhibitors may be an important approach for not only treating articular and cutaneous symptoms but also for ameliorating glucose and lipid metabolism. Nevertheless, further research and clinical trials are needed to better determine the effects of biologic therapies on metabolic components in chronic arthritis patients and to identify the most appropriate strategies on the basis of the comorbidities in these patients.

journal_name

Clin Exp Med

authors

Maruotti N,d'Onofrio F,Cantatore FP

doi

10.1007/s10238-014-0323-4

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

433-8

issue

4

eissn

1591-8890

issn

1591-9528

pii

10.1007/s10238-014-0323-4

journal_volume

15

pub_type

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