Pathogenesis of rheumatoid arthritis: how early is early?

被引:22
作者
Firestein, GS [1 ]
机构
[1] Univ Calif San Diego, Sch Med, Div Rheumatol Allergy & Immunol, La Jolla, CA 92093 USA
关键词
D O I
10.1186/ar1780
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Studies of cytokine expression in rheumatoid arthritis have provided key insights into the pathogenesis of disease and have offered clues for effective therapy. Patterns of T-cell products in chronic rheumatoid synovitis suggest that T helper type 1 cells contribute to the perpetuation of disease. However, there is no guarantee that the mechanisms of late disease are identical to very early rheumatoid arthritis. Evaluation of the cytokine profile at the earliest time points after onset of symptoms could identify novel targets that prevent progression to chronic arthritis.
引用
收藏
页码:157 / 159
页数:3
相关论文
共 20 条
[1]
Chabaud M, 1999, ARTHRITIS RHEUM-US, V42, P963, DOI 10.1002/1529-0131(199905)42:5<963::AID-ANR15>3.0.CO
[2]
2-E
[3]
Efficacy of B-cell-targeted therapy with rituximab in patients with rheumatoid arthritis [J].
Edwards, JCW ;
Szczepanski, L ;
Szechinski, J ;
Filipowicz-Sosnowska, A ;
Emery, P ;
Close, DR ;
Stevens, RM ;
Shaw, T .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 350 (25) :2572-2581
[4]
Evolving concepts of rheumatoid arthritis [J].
Firestein, GS .
NATURE, 2003, 423 (6937) :356-361
[5]
PERIPHERAL-BLOOD AND SYNOVIAL-FLUID MONOCYTE ACTIVATION IN INFLAMMATORY ARTHRITIS .2. LOW-LEVELS OF SYNOVIAL-FLUID AND SYNOVIAL TISSUE INTERFERON SUGGEST THAT GAMMA-INTERFERON IS NOT THE PRIMARY MACROPHAGE ACTIVATING FACTOR [J].
FIRESTEIN, GS ;
ZVAIFLER, NJ .
ARTHRITIS AND RHEUMATISM, 1987, 30 (08) :864-871
[6]
Expression of chemokines and matrix metalloproteinases in early rheumatoid arthritis [J].
Katrib, A ;
Tak, PP ;
Bertouch, JV ;
Cuello, C ;
McNeil, HP ;
Smeets, TJM ;
Kraan, MC ;
Youssef, PP .
RHEUMATOLOGY, 2001, 40 (09) :988-994
[7]
Immunohistological analysis of synovial tissue for differential diagnosis in early arthritis [J].
Kraan, MC ;
Haringman, JJ ;
Post, WJ ;
Versendaal, J ;
Breedveld, FC ;
Tak, PP .
RHEUMATOLOGY, 1999, 38 (11) :1074-1080
[8]
The development of clinical signs of rheumatoid synovial inflammation is associated with increased synthesis of the chemokine CXCL8 (interleukin-8) [J].
Kraan, MC ;
Patel, DD ;
Haringman, JJ ;
Smith, MD ;
Weedon, H ;
Ahern, MJ ;
Breedveld, FC ;
Tak, PP .
ARTHRITIS RESEARCH, 2001, 3 (01) :65-71
[9]
Treatment of rheumatoid arthritis by selective inhibition of T-cell activation with fusion protein CTLA4Ig [J].
Kremer, JM ;
Westhovens, R ;
Leon, M ;
Di Giorgio, E ;
Alten, R ;
Steinfeld, S ;
Russell, A ;
Dougados, M ;
Emery, P ;
Nuamah, IF ;
Williams, GR ;
Becker, JC ;
Hagerty, DT ;
Moreland, LW .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (20) :1907-1915
[10]
Bone morphogenetic proteins 2 and 6, expressed in arthritic synovium, are regulated by proinflammatory cytokines and differentially modulate fibroblast-like synoviocyte apoptosis [J].
Lories, RJU ;
Derese, I ;
Ceuppens, JL ;
Luyten, FP .
ARTHRITIS AND RHEUMATISM, 2003, 48 (10) :2807-2818