Tarjányi Oktávia, Olasz Katalin, Rátky Fanni, Sétáló György, Boldizsár Ferenc
Department of Medical Biology, Medical School, University of Pecs, H-7624 Pecs, Hungary.
Department of Immunology and Biotechnology, Medical School, University of Pecs, H-7624 Pecs, Hungary.
Int J Mol Sci. 2025 Mar 24;26(7):2943. doi: 10.3390/ijms26072943.
Rheumatoid arthritis (RA) is a chronic autoimmune disease that leads to the destruction of peripheral joint cartilage and bone tissue. Despite the advent of biological therapies in the past decades, the complete remission of RA patients is still out of reach. Therefore, the search for novel therapeutic approaches is still open in the field of RA. Proteasome inhibitors (PIs) were originally designed to be used in hematological malignancies like multiple myeloma. However, evidence has shown that they are potent inhibitors of the NF-κB pathway, which plays a pivotal role in inflammatory processes and RA. Furthermore, inhibition of cell activation and induction of apoptosis was also reported about PIs. In the present review, we summarize the current knowledge about the potential effects of PIs in RA based on reports from animal and human studies. We believe that there is substantial potential in the use of PIs in RA therapy either alone or in combination with the medications already used.
类风湿性关节炎(RA)是一种慢性自身免疫性疾病,会导致外周关节软骨和骨组织的破坏。尽管在过去几十年中出现了生物疗法,但RA患者的完全缓解仍难以实现。因此,在RA领域寻找新的治疗方法的探索仍在进行中。蛋白酶体抑制剂(PIs)最初设计用于治疗多发性骨髓瘤等血液系统恶性肿瘤。然而,有证据表明它们是NF-κB通路的有效抑制剂,而NF-κB通路在炎症过程和RA中起关键作用。此外,也有关于PIs抑制细胞活化和诱导细胞凋亡的报道。在本综述中,我们根据动物和人体研究报告总结了目前关于PIs在RA中潜在作用的知识。我们认为,单独使用PIs或与现有药物联合使用在RA治疗中具有巨大潜力。
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