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类风湿性关节炎治疗的有前途的治疗靶点。

Promising Therapeutic Targets for Treatment of Rheumatoid Arthritis.

机构信息

Department of Biology, Southern University of Science and Technology, Shenzhen, China.

Institute of Integrated Bioinfomedicine and Translational Science (IBTS), School of Chinese Medicine, Hong Kong Baptist University, Hong Kong, China.

出版信息

Front Immunol. 2021 Jul 9;12:686155. doi: 10.3389/fimmu.2021.686155. eCollection 2021.

Abstract

Rheumatoid arthritis (RA) is a systemic poly-articular chronic autoimmune joint disease that mainly damages the hands and feet, which affects 0.5% to 1.0% of the population worldwide. With the sustained development of disease-modifying antirheumatic drugs (DMARDs), significant success has been achieved for preventing and relieving disease activity in RA patients. Unfortunately, some patients still show limited response to DMARDs, which puts forward new requirements for special targets and novel therapies. Understanding the pathogenetic roles of the various molecules in RA could facilitate discovery of potential therapeutic targets and approaches. In this review, both existing and emerging targets, including the proteins, small molecular metabolites, and epigenetic regulators related to RA, are discussed, with a focus on the mechanisms that result in inflammation and the development of new drugs for blocking the various modulators in RA.

摘要

类风湿关节炎(RA)是一种全身性多关节慢性自身免疫性关节疾病,主要累及手和脚,影响全球 0.5%至 1.0%的人口。随着疾病修饰抗风湿药物(DMARDs)的持续发展,RA 患者在预防和缓解疾病活动方面取得了显著成效。不幸的是,一些患者对 DMARDs 的反应仍然有限,这对特殊靶点和新型疗法提出了新的要求。了解 RA 中各种分子的发病机制有助于发现潜在的治疗靶点和方法。在这篇综述中,讨论了现有的和新兴的靶点,包括与 RA 相关的蛋白质、小分子代谢物和表观遗传调节剂,重点讨论了导致炎症的机制以及用于阻断 RA 中各种调节剂的新药的开发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67b/8299711/46cdb7ac1236/fimmu-12-686155-g001.jpg

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