Cytokine Reduction in the Treatment of Joint Conditions

The destruction of joints caused by rheumatoid arthritis and osteoarthritis is characterized by an imbalance of enzyme catalysed cartilage breakdown and regeneration. A complex cytokine network perpetuates joint conditions by direct regulation of metalloproteases, by indirect recruitment of cells th...

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Main Authors: J. D. Sipe, J. Martel-Pelletier, I. G. Otterness, J.-P. Pelletier
Format: Article
Language:English
Published: Wiley 1994-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/S0962935194000359
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author J. D. Sipe
J. Martel-Pelletier
I. G. Otterness
J.-P. Pelletier
author_facet J. D. Sipe
J. Martel-Pelletier
I. G. Otterness
J.-P. Pelletier
author_sort J. D. Sipe
collection DOAJ
description The destruction of joints caused by rheumatoid arthritis and osteoarthritis is characterized by an imbalance of enzyme catalysed cartilage breakdown and regeneration. A complex cytokine network perpetuates joint conditions by direct regulation of metalloproteases, by indirect recruitment of cells that secrete degradative enzymes, and by inhibition of reparative processes. The destructive action of cytokines such as interleukin-1, interleukin-6 and tumour necrosis factor-α can be modulated at multiple points associated either with cytokine production or with cytokine action. Potential agents for cytokine reduction include selective anti-cytokine antibodies, anticytokine receptor antibodies, cytokine receptor antagonist proteins, and soluble and chimeric cytokine receptor molecules. Pharmacologic regulation of IL-1 and TNFα remain primary targets for treatment of arthritis, and results of early clinical trials are promising. However, the results of long-term clinical trials will be required to support the value of anti-cytokine therapy in treatment of arthritis.
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spelling doaj-art-da9745e75e0f4267bb0ad12c2fa04afb2025-02-03T01:13:13ZengWileyMediators of Inflammation0962-93511466-18611994-01-013424325610.1155/S0962935194000359Cytokine Reduction in the Treatment of Joint ConditionsJ. D. Sipe0J. Martel-Pelletier1I. G. Otterness2J.-P. Pelletier3Department of Biochemistry, Boston University School of Medicine, Boston, MA, USARheumatic Disease Unit, Notre-Dame Hospital Research Center, Montreal, Quebec, CanadaDepartment of Immunology and Infectious Diseases, Pfizer, Inc., Groton, CT, USARheumatic Disease Unit, Notre-Dame Hospital Research Center, Montreal, Quebec, CanadaThe destruction of joints caused by rheumatoid arthritis and osteoarthritis is characterized by an imbalance of enzyme catalysed cartilage breakdown and regeneration. A complex cytokine network perpetuates joint conditions by direct regulation of metalloproteases, by indirect recruitment of cells that secrete degradative enzymes, and by inhibition of reparative processes. The destructive action of cytokines such as interleukin-1, interleukin-6 and tumour necrosis factor-α can be modulated at multiple points associated either with cytokine production or with cytokine action. Potential agents for cytokine reduction include selective anti-cytokine antibodies, anticytokine receptor antibodies, cytokine receptor antagonist proteins, and soluble and chimeric cytokine receptor molecules. Pharmacologic regulation of IL-1 and TNFα remain primary targets for treatment of arthritis, and results of early clinical trials are promising. However, the results of long-term clinical trials will be required to support the value of anti-cytokine therapy in treatment of arthritis.http://dx.doi.org/10.1155/S0962935194000359
spellingShingle J. D. Sipe
J. Martel-Pelletier
I. G. Otterness
J.-P. Pelletier
Cytokine Reduction in the Treatment of Joint Conditions
Mediators of Inflammation
title Cytokine Reduction in the Treatment of Joint Conditions
title_full Cytokine Reduction in the Treatment of Joint Conditions
title_fullStr Cytokine Reduction in the Treatment of Joint Conditions
title_full_unstemmed Cytokine Reduction in the Treatment of Joint Conditions
title_short Cytokine Reduction in the Treatment of Joint Conditions
title_sort cytokine reduction in the treatment of joint conditions
url http://dx.doi.org/10.1155/S0962935194000359
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