Predictive Factors of Response to Biological Disease Modifying Antirheumatic Drugs: Towards Personalized Medicine

被引:52
作者
Daien, Claire I. [1 ]
Morel, Jacques
机构
[1] Univ Montpellier I II, Lapeyronie Hosp, Dept Rheumatol, Route Mende, F-34295 Montpellier 5, France
关键词
TUMOR-NECROSIS-FACTOR; RHEUMATOID-ARTHRITIS PATIENTS; ANTI-TNF THERAPY; CLINICAL-RESPONSE; BRITISH-SOCIETY; RADIOGRAPHIC PROGRESSION; CITRULLINATED PEPTIDE; ADALIMUMAB TREATMENT; INFLIXIMAB THERAPY; CIGARETTE-SMOKING;
D O I
10.1155/2014/386148
中图分类号
Q2 [细胞生物学];
学科分类号
071013 [干细胞生物学];
摘要
Many therapies are now available for patients with rheumatoid arthritis (RA) who have an inadequate response to methotrexate including tumor necrosis factor inhibitors, abatacept, tocilizumab, and rituximab. Clinical response to drugs varies widely between individuals. A part of this variability is due to the characteristics of the patient such as age, gender, concomitant therapies, body mass index, or smoking status. Clinical response also depends on disease characteristics including disease activity and severity and presence of autoantibodies. Genetic background, cytokine levels, and immune cell phenotypes could also influence biological therapy response. This review summarizes the impact of all those parameters on response to biological therapies.
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页数:11
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