The Discovery of Novel Experimental Therapies for Inflammatory Arthritis

Conventional and biologic disease-modifying antirheumatic drugs have revolutionized the medical therapy of inflammatory arthritis. However, it remains unclear as to what can be done to treat immune-mediated chronic inflammation after patients become refractory to these therapies or develop serious s...

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Main Author: Charles J. Malemud
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2009/698769
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author Charles J. Malemud
author_facet Charles J. Malemud
author_sort Charles J. Malemud
collection DOAJ
description Conventional and biologic disease-modifying antirheumatic drugs have revolutionized the medical therapy of inflammatory arthritis. However, it remains unclear as to what can be done to treat immune-mediated chronic inflammation after patients become refractory to these therapies or develop serious side-effects and/or infections forcing drug withdrawal. Because of these concerns it is imperative that novel targets be continuously identified and experimental strategies designed to test potential arthritis interventions in vitro, but more importantly, in well-validated animal models of inflammatory arthritis. Over the past few years, sphingosine-1-phosphate, interleukin-7 receptor, spleen tyrosine kinase, extracellular signal-regulated kinase, mitogen-activated protein kinase 5/p38 kinase regulated/activated protein kinase, micro-RNAs, tumor necrosis factor-related apoptosis inducing ligand and the polyubiquitin-proteasome pathway were identified as promising novel targets for potential antiarthritis drug development. Indeed several experimental compounds alter the biological activity of these targets and have shown clinical efficacy in animal models of arthritis. A few of them have even entered the first phase of human clinical trials.
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spelling doaj-art-92d8c551eeb4415fb0d802b378e5981d2025-02-03T06:10:59ZengWileyMediators of Inflammation0962-93511466-18612009-01-01200910.1155/2009/698769698769The Discovery of Novel Experimental Therapies for Inflammatory ArthritisCharles J. Malemud0Division of Rheumatic Diseases, Department of Medicine, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USAConventional and biologic disease-modifying antirheumatic drugs have revolutionized the medical therapy of inflammatory arthritis. However, it remains unclear as to what can be done to treat immune-mediated chronic inflammation after patients become refractory to these therapies or develop serious side-effects and/or infections forcing drug withdrawal. Because of these concerns it is imperative that novel targets be continuously identified and experimental strategies designed to test potential arthritis interventions in vitro, but more importantly, in well-validated animal models of inflammatory arthritis. Over the past few years, sphingosine-1-phosphate, interleukin-7 receptor, spleen tyrosine kinase, extracellular signal-regulated kinase, mitogen-activated protein kinase 5/p38 kinase regulated/activated protein kinase, micro-RNAs, tumor necrosis factor-related apoptosis inducing ligand and the polyubiquitin-proteasome pathway were identified as promising novel targets for potential antiarthritis drug development. Indeed several experimental compounds alter the biological activity of these targets and have shown clinical efficacy in animal models of arthritis. A few of them have even entered the first phase of human clinical trials.http://dx.doi.org/10.1155/2009/698769
spellingShingle Charles J. Malemud
The Discovery of Novel Experimental Therapies for Inflammatory Arthritis
Mediators of Inflammation
title The Discovery of Novel Experimental Therapies for Inflammatory Arthritis
title_full The Discovery of Novel Experimental Therapies for Inflammatory Arthritis
title_fullStr The Discovery of Novel Experimental Therapies for Inflammatory Arthritis
title_full_unstemmed The Discovery of Novel Experimental Therapies for Inflammatory Arthritis
title_short The Discovery of Novel Experimental Therapies for Inflammatory Arthritis
title_sort discovery of novel experimental therapies for inflammatory arthritis
url http://dx.doi.org/10.1155/2009/698769
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