Müller-Ladner U, Alten R, Heiligenhaus A, Kekow J, Koletzko S, Mrowietz U, Ochsenkühn T, Radke M, Reich K, Rudwaleit M, Schreiber S
Institutsangaben am Ende der Arbeit.
Dtsch Med Wochenschr. 2009 Oct;134(42):2132-6. doi: 10.1055/s-0029-1242011. Epub 2009 Oct 6.
The pro-inflammatory cytokine TNF alpha (TNF) has a key position in the pathogenesis of various infectious and inflammatory diseases. Clarification of its pivotal role in the pathogenesis of rheumatoid arthritis, spondyloarthritis, uveitis, psoriasis and inflammatory bowel disease has resulted in the successful development of TNF- blocking therapies, which have disease-modifying properties that exceed the effects of conventional therapeutic options. For this reason data on the concurrence of several chronic inflammatory diseases have led to the hypothesis of common pathogenetic processes of cytokine dysregulation. The acronym TRECID describes this concept of "TNF RElated Chronic Inflammatory Diseases". Physicians of different specialties have integrated new therapeutic options with TNF-blocking therapies into their strategies for the management of the affected patients. Thus the concept of TRECID can be regarded as a role model for a dynamic, interdisciplinary cooperation based on shared pathophysiological aspects.
促炎细胞因子肿瘤坏死因子α(TNF)在各种感染性和炎症性疾病的发病机制中占据关键地位。对其在类风湿性关节炎、脊柱关节炎、葡萄膜炎、银屑病和炎症性肠病发病机制中的关键作用的阐明,促成了TNF阻断疗法的成功研发,这些疗法具有改善病情的特性,其效果超过了传统治疗方案。因此,关于几种慢性炎症性疾病并存的数据引发了细胞因子失调共同致病过程的假说。首字母缩略词TRECID描述了“TNF相关慢性炎症性疾病”这一概念。不同专业的医生已将新的治疗方案与TNF阻断疗法整合到他们对受影响患者的管理策略中。因此,TRECID概念可被视为基于共同病理生理方面的动态跨学科合作的典范。