Skip to main content
Top

2014 | OriginalPaper | Chapter

94. Research Progress on the Anti-Rheumatoid Arthritis Drugs

Authors : Peng Wang, Xuegang Luo, Chongxi Wang, Xinjia Wang, Guang Hu, Tong-Cun Zhang

Published in: Proceedings of the 2012 International Conference on Applied Biotechnology (ICAB 2012)

Publisher: Springer Berlin Heidelberg

Activate our intelligent search to find suitable subject content or patents.

search-config
loading …

Abstract

Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease leading to synovial hyperplasia and a series of multisystem comorbidities. Permanent disability usually occurs in 20–30 % of untreated patients within 2–3 years of the disease. Therefore, it is important to diagnose the disease and initiate treatment as early as possible. The drug therapy plays an important role in maintaining a state of very low disease activity and slowing the progression of joint damage. Traditional drug therapy in RA is a pyramid approach, in which nonsteroidal anti-inflammatory drugs (NSAIDs) serve as the base of pyramid and disease-modifying antirheumatic drugs (DMARDs) are employed relatively late. But since this approach is no longer valid, many new drugs used to manage RA have been developed. In this review, we specifically summarize the current drug therapies for the treatment of RA and briefly describe the etiology, pathology and pathogenesis of RA.

Dont have a licence yet? Then find out more about our products and how to get one now:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 390 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Maschinenbau + Werkstoffe




 

Jetzt Wissensvorsprung sichern!

Literature
1.
go back to reference Harris ED (1990) Rheumatoid arthritis: pathophysiology and implications in therapy. New Eng J Med 322:1277–1289CrossRef Harris ED (1990) Rheumatoid arthritis: pathophysiology and implications in therapy. New Eng J Med 322:1277–1289CrossRef
2.
go back to reference Carmona L, Cross M, Williams B et al (2010) Rheumatoid arthritis. Best Pract Res Clin Rheumatol 24:733–745CrossRef Carmona L, Cross M, Williams B et al (2010) Rheumatoid arthritis. Best Pract Res Clin Rheumatol 24:733–745CrossRef
3.
go back to reference Zvaifler NJ (1983) Pathogenesis of the joint disease of rheumatoid arthritis. Am J Med 75:3–8CrossRef Zvaifler NJ (1983) Pathogenesis of the joint disease of rheumatoid arthritis. Am J Med 75:3–8CrossRef
4.
go back to reference Smolen JS, Aletaha D, Redlich K (2012) The pathogenesis of rheumatoid arthritis: new insights from old clinical data? Nat Rev Rheumatol 8:235–243CrossRef Smolen JS, Aletaha D, Redlich K (2012) The pathogenesis of rheumatoid arthritis: new insights from old clinical data? Nat Rev Rheumatol 8:235–243CrossRef
5.
go back to reference Gregersen PK (1999) Genetics of rheumatoid arthritis: confronting complexity. Arthritis Res 1:37–44CrossRef Gregersen PK (1999) Genetics of rheumatoid arthritis: confronting complexity. Arthritis Res 1:37–44CrossRef
6.
go back to reference Schuna AA (1998) Update on treatment of rheumatoid arthritis. J Am Pharm Assoc 38:728–735 Schuna AA (1998) Update on treatment of rheumatoid arthritis. J Am Pharm Assoc 38:728–735
7.
go back to reference Erhardt CC, Mumford PA, Venables PJ et al (1989) Factors predicting a poor life prognosis in rheumatoid arthritis: an eight year prospective study. Ann Rheum Dis 48:7–13CrossRef Erhardt CC, Mumford PA, Venables PJ et al (1989) Factors predicting a poor life prognosis in rheumatoid arthritis: an eight year prospective study. Ann Rheum Dis 48:7–13CrossRef
8.
go back to reference Silman AJ, MacGregor AJ, Thomson W et al (1993) Twin concordance rates for rheumatoid arthritis: results from a nationwide study. Br J Rheumatol 32:903–907CrossRef Silman AJ, MacGregor AJ, Thomson W et al (1993) Twin concordance rates for rheumatoid arthritis: results from a nationwide study. Br J Rheumatol 32:903–907CrossRef
9.
go back to reference Vaughan JH, Kouri T, Petersen J et al (1988) On the etiology of rheumatoid arthritis. Scand J Rhetrmatol Suppl 74:19–28CrossRef Vaughan JH, Kouri T, Petersen J et al (1988) On the etiology of rheumatoid arthritis. Scand J Rhetrmatol Suppl 74:19–28CrossRef
10.
go back to reference Gregersen PK, Silver J, Winchester RJ et al (1987) The shared epitope hypothesis: an approach to understanding the molecular genetics of susceptibility to rheumatoid arthritis. Arthritis Rheum 30:1205–1213CrossRef Gregersen PK, Silver J, Winchester RJ et al (1987) The shared epitope hypothesis: an approach to understanding the molecular genetics of susceptibility to rheumatoid arthritis. Arthritis Rheum 30:1205–1213CrossRef
11.
go back to reference Stastny P (1978) Association of the B-cell alloantigen Dm4 with rheumatoid arthritis. N Engl J Med 298:869–871CrossRef Stastny P (1978) Association of the B-cell alloantigen Dm4 with rheumatoid arthritis. N Engl J Med 298:869–871CrossRef
12.
go back to reference Ronnelid J, Lysholm J, Engstrom-Laurent et al (1994) Local anti-type II collagen antibody prodution in rheumatoid arthritis synovial fluid: evidence for an HLA-DR4-restricted IgG response. Arthritis Rheum 37:1023–1029CrossRef Ronnelid J, Lysholm J, Engstrom-Laurent et al (1994) Local anti-type II collagen antibody prodution in rheumatoid arthritis synovial fluid: evidence for an HLA-DR4-restricted IgG response. Arthritis Rheum 37:1023–1029CrossRef
13.
go back to reference Schiff B, Mizrachi Y, Orgad S et al (1982) Association of HLA-Aw31 and HLA-DR1 with rheumatoid arthritis. Ann Rheum Dis 41:403–404CrossRef Schiff B, Mizrachi Y, Orgad S et al (1982) Association of HLA-Aw31 and HLA-DR1 with rheumatoid arthritis. Ann Rheum Dis 41:403–404CrossRef
14.
go back to reference Woodrow JC, Nichol FE, Zaphiropoulos G (1981) DR antigens and rheumatoid arthritis: a study of two populations. Br Med J 283:1287–1288CrossRef Woodrow JC, Nichol FE, Zaphiropoulos G (1981) DR antigens and rheumatoid arthritis: a study of two populations. Br Med J 283:1287–1288CrossRef
15.
go back to reference Goldring SR (2000) A 55-year-old woman with rheumatoid arthritis. JAMA2000 283:524–531 Goldring SR (2000) A 55-year-old woman with rheumatoid arthritis. JAMA2000 283:524–531
16.
go back to reference Scott PA, Kingsley GH, Smith CM et al (2007) Non-steroidal anti-inflammatory drugs and myocardial infarctions: Comparative systematic review of evidence from observational studies and randomised controlled trials. Ann Rheum Dis 66:1296–1304CrossRef Scott PA, Kingsley GH, Smith CM et al (2007) Non-steroidal anti-inflammatory drugs and myocardial infarctions: Comparative systematic review of evidence from observational studies and randomised controlled trials. Ann Rheum Dis 66:1296–1304CrossRef
17.
go back to reference Schaffer D, Florin T, Eagle C et al (2006) Risk of serious NSAID-related gastrointestinal events during long-term exposure: a systematic review. Med J Aust 185:501–506 Schaffer D, Florin T, Eagle C et al (2006) Risk of serious NSAID-related gastrointestinal events during long-term exposure: a systematic review. Med J Aust 185:501–506
18.
go back to reference Donahue KE, Gartlehner G, Jonas DE et al (2008) Systematic review: comparative effectiveness and harms of disease-modifying medications for rheumatoid arthritis. Ann Intern Med 148:124–134CrossRef Donahue KE, Gartlehner G, Jonas DE et al (2008) Systematic review: comparative effectiveness and harms of disease-modifying medications for rheumatoid arthritis. Ann Intern Med 148:124–134CrossRef
19.
go back to reference Kremer JM, Genovese MC, Cannon GW et al (2002) Concomitant leflunomide therapy in patients with active rheumatoid arthritis despite stable doses of methotrexate. Ann Intern Med 137:726–733CrossRef Kremer JM, Genovese MC, Cannon GW et al (2002) Concomitant leflunomide therapy in patients with active rheumatoid arthritis despite stable doses of methotrexate. Ann Intern Med 137:726–733CrossRef
20.
go back to reference Choy EH, Panayi GS (2001) Cytokine pathways and joint inflammation in rheumatoid arthritis. N Engl J Med 344:907–916CrossRef Choy EH, Panayi GS (2001) Cytokine pathways and joint inflammation in rheumatoid arthritis. N Engl J Med 344:907–916CrossRef
21.
go back to reference Lovell DJ, Giannini EH, Reiff A et al (2000) Etanercept in children with polyarticular juvenile rheumatoid arthritis. N Engl J Med 342:763–769CrossRef Lovell DJ, Giannini EH, Reiff A et al (2000) Etanercept in children with polyarticular juvenile rheumatoid arthritis. N Engl J Med 342:763–769CrossRef
22.
go back to reference Moreland LW, Baumgartner SW, Schiff MH et al (1997) Treatment of rheumatoid arthritis with a recombinant human tumor necrosis factor receptor (p75)-Fc fusion protein. N Engl J Med 337:141–147CrossRef Moreland LW, Baumgartner SW, Schiff MH et al (1997) Treatment of rheumatoid arthritis with a recombinant human tumor necrosis factor receptor (p75)-Fc fusion protein. N Engl J Med 337:141–147CrossRef
23.
go back to reference Weinblatt ME, Kremer JM, Bankhurst AD et al (1999) A trial of etanercept, a recombinant tumor necrosis factor receptor: Fc fusion protein, in patients with rheumatoid arthritis receiving methotrexate. N Engl J Med 340:253–259CrossRef Weinblatt ME, Kremer JM, Bankhurst AD et al (1999) A trial of etanercept, a recombinant tumor necrosis factor receptor: Fc fusion protein, in patients with rheumatoid arthritis receiving methotrexate. N Engl J Med 340:253–259CrossRef
24.
go back to reference Mohler KM, Torrance DS, Smith CA et al (1993) Soluble tumor necrosis factor (TNF) receptors are effective therapeutic agents in lethal endotoxemia and function simultaneously as both TNF carriers and TNF antagonists. J Immunol 151:1548–1561 Mohler KM, Torrance DS, Smith CA et al (1993) Soluble tumor necrosis factor (TNF) receptors are effective therapeutic agents in lethal endotoxemia and function simultaneously as both TNF carriers and TNF antagonists. J Immunol 151:1548–1561
25.
go back to reference Keystone EC, Kavanaugh AF, Sharp JT et al (2004) Radiographic, clinical, and functional outcomes of reatment with adalimumab (a human anti-tumor necrosis factor monoclonal antibody) in patients with active rheumatoid arthritis receiving concomitant methotrexate therapy: a randomized, placebo-controlled, 52-week trial. Arthritis Rheum 50:1400–1411CrossRef Keystone EC, Kavanaugh AF, Sharp JT et al (2004) Radiographic, clinical, and functional outcomes of reatment with adalimumab (a human anti-tumor necrosis factor monoclonal antibody) in patients with active rheumatoid arthritis receiving concomitant methotrexate therapy: a randomized, placebo-controlled, 52-week trial. Arthritis Rheum 50:1400–1411CrossRef
26.
go back to reference Taylor PC, Steuer A, Gruber J et al (2002) Infliximab attenuates joint destruction in early RA patients with ultrasonographic markers of poor prognosis. Arthritis Rheum 46:334 Taylor PC, Steuer A, Gruber J et al (2002) Infliximab attenuates joint destruction in early RA patients with ultrasonographic markers of poor prognosis. Arthritis Rheum 46:334
27.
go back to reference Fishwild DM, O’Donnell SL, Bengoechea T et al (1996) High-avidity human IgG kappa monoclonal antibodies from a novel strain of minilocus transgenic mice. Nat Biotechnol 14:845–851CrossRef Fishwild DM, O’Donnell SL, Bengoechea T et al (1996) High-avidity human IgG kappa monoclonal antibodies from a novel strain of minilocus transgenic mice. Nat Biotechnol 14:845–851CrossRef
28.
go back to reference Kremer J, Ritchlin C, Mendelsohn A et al (2010) Golimumab, a new human anti-tumor necrosis factor alpha antibody, administered intravenously in patients with active rheumatoid arthritis: forty-eightweek efficacy and safety results of a phase III randomized, double- blind, placebocontrolled study. Arthritis Rheum 62:917–928CrossRef Kremer J, Ritchlin C, Mendelsohn A et al (2010) Golimumab, a new human anti-tumor necrosis factor alpha antibody, administered intravenously in patients with active rheumatoid arthritis: forty-eightweek efficacy and safety results of a phase III randomized, double- blind, placebocontrolled study. Arthritis Rheum 62:917–928CrossRef
29.
go back to reference Nesbitt A, Fossati G, Bergin M et al (2007) Mechanism of action of certolizumab pegol (CDP870): in vitro comparison with other anti-tumor necrosis factor alpha agents. Inflamm Bowel Dis 13:1323–1332CrossRef Nesbitt A, Fossati G, Bergin M et al (2007) Mechanism of action of certolizumab pegol (CDP870): in vitro comparison with other anti-tumor necrosis factor alpha agents. Inflamm Bowel Dis 13:1323–1332CrossRef
30.
go back to reference Gomez-Reino JJ, Fairfax MJ, Pavelka K et al (2007) Targeted inhibition of IL-6 with tocilizumab improves quality of life and function in patients with rheumatoid arthritis with inadequate response to a range of DMARDs. Arthritis Rheum 56:4234 Gomez-Reino JJ, Fairfax MJ, Pavelka K et al (2007) Targeted inhibition of IL-6 with tocilizumab improves quality of life and function in patients with rheumatoid arthritis with inadequate response to a range of DMARDs. Arthritis Rheum 56:4234
31.
go back to reference Genovese M, McKay J, Nasonov E et al (2007) IL-6 receptor inhibition with tocilizumab reduces disease activity in patients with rheumatoid arthritis with inadequate response to a range of DMARDs: the TOWARD Study. Arthritis Rheum 56:4309–4310 Genovese M, McKay J, Nasonov E et al (2007) IL-6 receptor inhibition with tocilizumab reduces disease activity in patients with rheumatoid arthritis with inadequate response to a range of DMARDs: the TOWARD Study. Arthritis Rheum 56:4309–4310
32.
go back to reference Dass S, Vital EM, Emery P (2006) Rituximab: novel B-cell depletion therapy for the treatment of rheumatoid arthritis. Expert Opin Pharmacother 7:2559–2570CrossRef Dass S, Vital EM, Emery P (2006) Rituximab: novel B-cell depletion therapy for the treatment of rheumatoid arthritis. Expert Opin Pharmacother 7:2559–2570CrossRef
33.
go back to reference Moreland LW, Alten R, Van den Bosch F et al (2002) Costimulatory blockade in patients with rheumatoid arthritis: a pilot, dose-finding, double-blind, placebo-controlled clinical trial evaluating CTLA-4Ig and LEA29Y eighty-five days after the first infusion. Arthritis Rheum 46:1470–1479CrossRef Moreland LW, Alten R, Van den Bosch F et al (2002) Costimulatory blockade in patients with rheumatoid arthritis: a pilot, dose-finding, double-blind, placebo-controlled clinical trial evaluating CTLA-4Ig and LEA29Y eighty-five days after the first infusion. Arthritis Rheum 46:1470–1479CrossRef
34.
go back to reference Emery P (2003) The therapeutic potential of costimulatory blockade with CTLA-4Ig in rheumatoid arthritis. Expert Opin Investig Drugs 12:673–681CrossRef Emery P (2003) The therapeutic potential of costimulatory blockade with CTLA-4Ig in rheumatoid arthritis. Expert Opin Investig Drugs 12:673–681CrossRef
35.
go back to reference Kirwan JR, Bijlsma JW, Boers M et al (2007) Effects of glucocorticoids on radiological progression in rheumatoid arthritis. The Cochrane Libr doi: 10.1002/s14651858006356 Kirwan JR, Bijlsma JW, Boers M et al (2007) Effects of glucocorticoids on radiological progression in rheumatoid arthritis. The Cochrane Libr doi: 10.​1002/​s14651858006356
36.
go back to reference Bijlsma JW, van der Goes MC, Hoes JN et al (2010) Lowdose glucocorticoid therapy in rheumatoid arthritis: an obligatory therapy. Ann N Y Acad Sci 1193:123–126CrossRef Bijlsma JW, van der Goes MC, Hoes JN et al (2010) Lowdose glucocorticoid therapy in rheumatoid arthritis: an obligatory therapy. Ann N Y Acad Sci 1193:123–126CrossRef
38.
go back to reference Alarcon GS (2000) Tetracyclines for the treatment of rheumatoid arthritis. Expert Opin Investig Drugs 97:1491–1498CrossRef Alarcon GS (2000) Tetracyclines for the treatment of rheumatoid arthritis. Expert Opin Investig Drugs 97:1491–1498CrossRef
Metadata
Title
Research Progress on the Anti-Rheumatoid Arthritis Drugs
Authors
Peng Wang
Xuegang Luo
Chongxi Wang
Xinjia Wang
Guang Hu
Tong-Cun Zhang
Copyright Year
2014
Publisher
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-642-37922-2_94

Premium Partners