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Biochemical and Clinical Effects of Penicillamine and Other Thiols Used in the Treatment of Rheumatoid Arthritis

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Abstract

Several years ago it was shown that rheumatoid factor molecules were split in vitro by the thiol penicillamine1. This was the rationale behind the original attempts to use penicillamine in the treatment of rheumatoid arthritis2. Although later studies have clearly shown that this simple mechanism does not operate in vivo, it was found that penicillamine was an antirheumatic drug3 which offers an alternative to gold compounds which, despite their high toxicity, have been used in the treatment of rheumatoid arthritis for over 50 years. In clinical laboratories and rheumatological centres there has consequently been an increasing interest in the biological effects of thiols in general and of penicillamine in particular. Recently another thiol, thiopyridoxin4,5 has been shown to posses antirheumatic properties. From the numerous scientific articles published during the last years, it appears that the thiol group may play important roles in the unlocking of the pathogenesis of rheumatoid arthritis.

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References

  1. R. Heimer and M. Federico, Depolymerization of the 19S antibodies and 22S rheumatoid factor, Clin. Chim. Acta 25: 41 (1958).

    Google Scholar 

  2. I. A. Jaffe, The treatment of rheumatoid arthritis and necrotizing vasculitis with penicillamine, Arthr. Rheum. 13: 436 (1970).

    CAS  Google Scholar 

  3. Multi-Centre Trial Group, Controlled trial of D penicillamine in severe rheumatoid arthritis, Lancet Is 275 (1973).

    Google Scholar 

  4. J. P. Camus, Scand. J. Rheumatology

    Google Scholar 

  5. I. A. Jaffe, Scand. J. Rheumatology

    Google Scholar 

  6. E. Jellum and S. Skrede, Biological aspects of thiol-disulphide reactions during treatment with penicillamine, in “Penicillamine research in rheumatic disease”, E. Munthe, ed., Fabritius/MSD, Oslo, (1977) p. 68.

    Google Scholar 

  7. L. Binderup, E. Bramm and E. Arrigoni-Marte11i, D-penicillamine and macrophages. Modulation of lymphocyte transformation by concanavalin A

    Google Scholar 

  8. E. Munthe and E. Jellum, Mode of action of gold compounds and D-penici1lamine, in“Proceedings from the European Colloquium on the mode of action of non-steroidal anti-inflammatory drugs”, Cannes, France (1979).

    Google Scholar 

  9. E. Jellum and E. Munthe, Is the mechanism of action during treatment of rheumatoid arthritis with penicillamineand gold thiomalate the same? in “Perspectives in Inflammation. Future trends and developments”, D. A. Willoughby, J. P. Giroud and G. P. Velo, eds., MTP-Press Ltd, Lanchester, England (1977) p. 575.

    Google Scholar 

  10. E. Jellum, E. Munthe, G. Guldal and J. Aaseth, Fate of the gold and the thiomalate part after intramuscular administration of aurothiomalate (Myocrisin) to mice, Ann. Rheum. Pis

    Google Scholar 

  11. E. Arrigoni-Martelli, E. Bramm and L. Binderup, D-penicillamine-like activity of thiols, in EBRA symposium on anti-inf1ammatory and anti-rheumatic drug, Paris, (in press).

    Google Scholar 

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© 1980 Plenum Press, New York

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Jellum, E., Munthe, E. (1980). Biochemical and Clinical Effects of Penicillamine and Other Thiols Used in the Treatment of Rheumatoid Arthritis. In: Cavallini, D., Gaull, G.E., Zappia, V. (eds) Natural Sulfur Compounds. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3045-5_32

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  • DOI: https://doi.org/10.1007/978-1-4613-3045-5_32

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-3047-9

  • Online ISBN: 978-1-4613-3045-5

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