T-REGULATORY CELLS IN RHEUMATOID ARTHRITIS

Autoimmune (immunoinflammatory) rheumatic diseases are defined as clinical syndromes whose development is associated with the abnormal activation of T cells, B cells, and many other cells of the immune system, which gives rise to the progressive inflammation and destruction of the viscera. In spite...

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Main Authors: E. L. Nasonov, E. N. Aleksandrova, A. S. Avdeeva, Yu. P. Rubtsov
Format: Article
Language:Russian
Published: IMA PRESS LLC 2014-09-01
Series:Научно-практическая ревматология
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Online Access:https://rsp.mediar-press.net/rsp/article/view/1966
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author E. L. Nasonov
E. N. Aleksandrova
A. S. Avdeeva
Yu. P. Rubtsov
author_facet E. L. Nasonov
E. N. Aleksandrova
A. S. Avdeeva
Yu. P. Rubtsov
author_sort E. L. Nasonov
collection DOAJ
description Autoimmune (immunoinflammatory) rheumatic diseases are defined as clinical syndromes whose development is associated with the abnormal activation of T cells, B cells, and many other cells of the immune system, which gives rise to the progressive inflammation and destruction of the viscera. In spite of the high efficiency of combined therapy with biologic agents and standard disease-modifying antirheumatic drugs, primarily methotrexate, less than half of patients with rheumatoid arthritis (RA) could achieve a significant clinical effect and, very rarely, sustained remission. The combined influence of genetic and environmental factors may lead to loss of immunological tolerance, the basis for which is an imbalance between the effector and regulatory components of the immune system. To restore tolerance without chronic nonspecific immunosuppression observed in the use of majority of current anti-inflammatory drugs (including GEBAs) is regarded as the most important task of pharmacotherapy for RA. The aim of the review is to discuss firstly the role of the so-called T regulatory (Treg) cells as one of the critical components for the maintenance of tolerance and secondly promises for the pharmacotherapy of RA associated with the correction of the functional activity of Treg cells.
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spelling doaj-art-7cf5dfd2f1e3444a8cfe5e0417ee70762025-08-20T03:21:47ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922014-09-0152443043710.14412/1995-4484-2014-430-4371898T-REGULATORY CELLS IN RHEUMATOID ARTHRITISE. L. Nasonov0E. N. Aleksandrova1A. S. Avdeeva2Yu. P. Rubtsov3V.A. Nasonova Research Institute of Rheumatology, MoscowV.A. Nasonova Research Institute of Rheumatology, MoscowV.A. Nasonova Research Institute of Rheumatology, MoscowM.V. Lomonosov Moscow State University, MoscowAutoimmune (immunoinflammatory) rheumatic diseases are defined as clinical syndromes whose development is associated with the abnormal activation of T cells, B cells, and many other cells of the immune system, which gives rise to the progressive inflammation and destruction of the viscera. In spite of the high efficiency of combined therapy with biologic agents and standard disease-modifying antirheumatic drugs, primarily methotrexate, less than half of patients with rheumatoid arthritis (RA) could achieve a significant clinical effect and, very rarely, sustained remission. The combined influence of genetic and environmental factors may lead to loss of immunological tolerance, the basis for which is an imbalance between the effector and regulatory components of the immune system. To restore tolerance without chronic nonspecific immunosuppression observed in the use of majority of current anti-inflammatory drugs (including GEBAs) is regarded as the most important task of pharmacotherapy for RA. The aim of the review is to discuss firstly the role of the so-called T regulatory (Treg) cells as one of the critical components for the maintenance of tolerance and secondly promises for the pharmacotherapy of RA associated with the correction of the functional activity of Treg cells.https://rsp.mediar-press.net/rsp/article/view/1966rheumatoid arthritiscytokinestolerancet regulatory cells
spellingShingle E. L. Nasonov
E. N. Aleksandrova
A. S. Avdeeva
Yu. P. Rubtsov
T-REGULATORY CELLS IN RHEUMATOID ARTHRITIS
Научно-практическая ревматология
rheumatoid arthritis
cytokines
tolerance
t regulatory cells
title T-REGULATORY CELLS IN RHEUMATOID ARTHRITIS
title_full T-REGULATORY CELLS IN RHEUMATOID ARTHRITIS
title_fullStr T-REGULATORY CELLS IN RHEUMATOID ARTHRITIS
title_full_unstemmed T-REGULATORY CELLS IN RHEUMATOID ARTHRITIS
title_short T-REGULATORY CELLS IN RHEUMATOID ARTHRITIS
title_sort t regulatory cells in rheumatoid arthritis
topic rheumatoid arthritis
cytokines
tolerance
t regulatory cells
url https://rsp.mediar-press.net/rsp/article/view/1966
work_keys_str_mv AT elnasonov tregulatorycellsinrheumatoidarthritis
AT enaleksandrova tregulatorycellsinrheumatoidarthritis
AT asavdeeva tregulatorycellsinrheumatoidarthritis
AT yuprubtsov tregulatorycellsinrheumatoidarthritis