Current Rheumatology Reports

, Volume 1, Issue 2, pp 157–163

Biologic therapies in rheumatoid arthritis

  • Ken J. Bulpitt
Article

Abstract

Our growing understanding of the immune response mechanism has created a wave of novel biologic agents for the treatment of rheumatoid arthritis. The domain of biologic agents includes: 1) Recombinant regulatory cytokines; 2) engineered molecules and monoclonal antibodies that target proinflammatory cytokines; 3) monoclonal antibodies against lymphocyte cell-surface proteins; 4) fusion proteins and monoclonal antibodies that block the second signal and induce anergy; 5) vaccines comprised of specific proteins from lymphocytes and antigen presenting cells; 6) monoclonal antibodies that block intercellular adhesion; and 6) gene therapy whereby antiarthritis genes are introduced directly into the joint. Most treatments remain under investigation; however, in 1998 two antagonists of tumor necrosis factor were approved marking the first approvals of antirheumatic biologic agents. For the first time anti-rheumatic therapies are being designed instead of borrowed.

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Copyright information

© Current Science Inc 1999

Authors and Affiliations

  • Ken J. Bulpitt
    • 1
  1. 1.Division of RheumatologyUniversity of California, Los Angeles, School of MedicineLos Angeles

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