Integrin alpha V beta 3 as a target for treatment of rheumatoid arthritis and related rheumatic diseases

被引:159
作者
Wilder, RL [1 ]
机构
[1] Medimmune Inc, Clin Dev, Gaithersburg, MD 20878 USA
关键词
D O I
10.1136/ard.61.suppl_2.ii96
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A substantial and persuasive body of data now exists that,supports the view that integrin alpha V beta 3 plays a critical part in activated macrophage dependent inflammation, osteoclast development, migration, and bone resorption, and, inflammatory angiogenesis. All of these processes play an important part in, the pathogenesis of rheumatoid arthritis (RA), and related arthropathies. Animal arthritis model data further support these concepts and also suggest that therapeutic:antagonism of integrin alpha V beta 3 is worthy of further investigation in RA and related arthropathies. To this end, Vitaxin, also known as MEDI-522, has been developed. Vitaxin is a humanised monoclonal I(g)G(1) antibody that specifically binds a conformational epitope formed by both the integrin alpha V and beta 3 subunits. It blocks the interaction of alpha V beta 3 with various ligands such as osteopontin and vitronectin. Clinical trials with Vitaxin in patients with RA are in progress.
引用
收藏
页码:96 / 99
页数:4
相关论文
共 59 条
[1]  
ALBELDA SM, 1990, CANCER RES, V50, P6757
[2]  
Badger AM, 2001, ARTHRITIS RHEUM-US, V44, P128, DOI 10.1002/1529-0131(200101)44:1<128::AID-ANR17>3.0.CO
[3]  
2-M
[4]   Cysteine-rich module structure reveals a fulcrum for integrin rearrangement upon activation [J].
Beglova, N ;
Blacklow, SC ;
Takagi, J ;
Springer, TA .
NATURE STRUCTURAL BIOLOGY, 2002, 9 (04) :282-287
[5]   Activation of αvβ3-vitronectin binding is a multistage process in which increases in bond strength are dependent on Y747 and Y759 in the cytoplasmic domain of β3 [J].
Boettiger, D ;
Huber, F ;
Lynch, L ;
Blystone, S .
MOLECULAR BIOLOGY OF THE CELL, 2001, 12 (05) :1227-1237
[6]   Distinct ligand-binding modes for integrin αvβ3-mediated adhesion to fibronectin versus vitronectin [J].
Boettiger, D ;
Lynch, L ;
Blystone, S ;
Huber, F .
JOURNAL OF BIOLOGICAL CHEMISTRY, 2001, 276 (34) :31684-31690
[7]   Functional consequences of integrin gene mutations in mice [J].
Bouvard, D ;
Brakebusch, C ;
Gustafsson, E ;
Aszódi, A ;
Bengtsson, T ;
Berna, A ;
Fässler, R .
CIRCULATION RESEARCH, 2001, 89 (03) :211-223
[8]   REQUIREMENT OF VASCULAR INTEGRIN ALPHA(V)BETA(3) FOR ANGIOGENESIS [J].
BROOKS, PC ;
CLARK, RAF ;
CHERESH, DA .
SCIENCE, 1994, 264 (5158) :569-571
[9]   ANTIINTEGRIN ALPHA-V-BETA-3 BLOCKS HUMAN BREAST-CANCER GROWTH AND ANGIOGENESIS IN HUMAN SKIN [J].
BROOKS, PC ;
STROMBLAD, S ;
KLEMKE, R ;
VISSCHER, D ;
SARKAR, FH ;
CHERESH, DA .
JOURNAL OF CLINICAL INVESTIGATION, 1995, 96 (04) :1815-1822
[10]   INTEGRIN ALPHA(V)BETA(3) ANTAGONISTS PROMOTE TUMOR-REGRESSION BY INDUCING APOPTOSIS OF ANGIOGENIC BLOOD-VESSELS [J].
BROOKS, PC ;
MONTGOMERY, AMP ;
ROSENFELD, M ;
REISFELD, RA ;
HU, TH ;
KLIER, G ;
CHERESH, DA .
CELL, 1994, 79 (07) :1157-1164