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类风湿关节炎中的信号通路:靶向治疗的意义。

Signaling pathways in rheumatoid arthritis: implications for targeted therapy.

机构信息

State Key Laboratory of Quality Research in Chinese Medicine & School of Pharmacy, Macau University of Science and Technology, Macau SAR, 999078, China.

School of Basic Medicine, Guizhou University of Traditional Chinese Medicine, Guiyang, China.

出版信息

Signal Transduct Target Ther. 2023 Feb 17;8(1):68. doi: 10.1038/s41392-023-01331-9.

Abstract

Rheumatoid arthritis (RA) is an incurable systemic autoimmune disease. Disease progression leads to joint deformity and associated loss of function, which significantly impacts the quality of life for sufferers and adds to losses in the labor force. In the past few decades, RA has attracted increased attention from researchers, the abnormal signaling pathways in RA are a very important research field in the diagnosis and treatment of RA, which provides important evidence for understanding this complex disease and developing novel RA-linked intervention targets. The current review intends to provide a comprehensive overview of RA, including a general introduction to the disease, historical events, epidemiology, risk factors, and pathological process, highlight the primary research progress of the disease and various signaling pathways and molecular mechanisms, including genetic factors, epigenetic factors, summarize the most recent developments in identifying novel signaling pathways in RA and new inhibitors for treating RA. therapeutic interventions including approved drugs, clinical drugs, pre-clinical drugs, and cutting-edge therapeutic technologies. These developments will hopefully drive progress in new strategically targeted therapies and hope to provide novel ideas for RA treatment options in the future.

摘要

类风湿关节炎(RA)是一种无法治愈的系统性自身免疫性疾病。疾病的进展会导致关节畸形和相关的功能丧失,这会显著影响患者的生活质量,并导致劳动力损失。在过去的几十年中,RA 引起了研究人员的更多关注,RA 中的异常信号通路是 RA 诊断和治疗的一个非常重要的研究领域,为理解这种复杂疾病和开发新的 RA 相关干预靶点提供了重要证据。本综述旨在全面介绍 RA,包括疾病的一般介绍、历史事件、流行病学、风险因素和病理过程,重点介绍疾病的主要研究进展和各种信号通路和分子机制,包括遗传因素、表观遗传因素,总结 RA 中识别新信号通路和治疗 RA 的新抑制剂的最新进展。治疗干预措施包括已批准的药物、临床药物、临床前药物和前沿治疗技术。这些进展有望推动新的战略性靶向治疗的进展,并为未来 RA 的治疗选择提供新的思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc99/9935929/f5e1192e5549/41392_2023_1331_Fig1_HTML.jpg

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