The Role of Anti-TNFα Therapy in the Amelioration of Disease Burden in Patients with Refractory Rheumatoid Arthritis

To evaluate the changes in anti cyclic citrullinated peptide (Anti-CCP) antibodies, rheumatoid factor (RF), interleukins 17 and 10 (IL-17 and IL-10), high sensitivity C- reactive protein (hs CRP) and T regulatory cells (Treg) count following an anti TNF-α biological agent (etanercept) therapy in pa...

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Main Authors: Madha Mohammed Sheet, Laith Abdul-Elah Kamel, Jamal Nasser Farhood
Format: Article
Language:English
Published: College of Pharmacy / Mustansiriyah University 2014-06-01
Series:Al-Mustansiriyah Journal of Pharmaceutical Sciences
Subjects:
Online Access:https://ajps.uomustansiriyah.edu.iq/index.php/AJPS/article/view/121
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author Madha Mohammed Sheet
Laith Abdul-Elah Kamel
Jamal Nasser Farhood
author_facet Madha Mohammed Sheet
Laith Abdul-Elah Kamel
Jamal Nasser Farhood
author_sort Madha Mohammed Sheet
collection DOAJ
description To evaluate the changes in anti cyclic citrullinated peptide (Anti-CCP) antibodies, rheumatoid factor (RF), interleukins 17 and 10 (IL-17 and IL-10), high sensitivity C- reactive protein (hs CRP) and T regulatory cells (Treg) count following an anti TNF-α biological agent (etanercept) therapy in patients with rheumatoid arthritis. Refractory rheumatoid arthritis patients who failed treatment with DMARDs (disease modifying anti rheumatic drugs) were treated with etanercept for three months. Serum and blood samples were tested before and after therapy for six markers including ACCP, RF, IL- 10, IL 17, hs CRP, and Treg cell. A significant dropping down in the serum level of ACCP, RF and hs CRP was documented 3 months after etanercept therapy. On the other hand a non- significant elevation in IL-10 serum level and peripheral blood Treg cell count, as well as a non significant dropping down in the serum level of IL-17 were also reported. Etanercept is a successful anti-TNF-α therapy in refractory RA patients for the first three months of the course therapy as indicated by clinical improvement and amelioration in 6 disease activity markers.
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spelling doaj.art-062433fee1594188b65f112d1e0346232024-04-04T06:58:30ZengCollege of Pharmacy / Mustansiriyah UniversityAl-Mustansiriyah Journal of Pharmaceutical Sciences1815-09932959-183X2014-06-0114110.32947/ajps.v14i1.121The Role of Anti-TNFα Therapy in the Amelioration of Disease Burden in Patients with Refractory Rheumatoid ArthritisMadha Mohammed Sheet0Laith Abdul-Elah Kamel1Jamal Nasser Farhood2Dept. Medical Labs., College of Health andMedical Technology, BaghdadAl-Karama Hospital, BaghdadDept. Medical Labs, College of Health andMedical Technology, Baghdad To evaluate the changes in anti cyclic citrullinated peptide (Anti-CCP) antibodies, rheumatoid factor (RF), interleukins 17 and 10 (IL-17 and IL-10), high sensitivity C- reactive protein (hs CRP) and T regulatory cells (Treg) count following an anti TNF-α biological agent (etanercept) therapy in patients with rheumatoid arthritis. Refractory rheumatoid arthritis patients who failed treatment with DMARDs (disease modifying anti rheumatic drugs) were treated with etanercept for three months. Serum and blood samples were tested before and after therapy for six markers including ACCP, RF, IL- 10, IL 17, hs CRP, and Treg cell. A significant dropping down in the serum level of ACCP, RF and hs CRP was documented 3 months after etanercept therapy. On the other hand a non- significant elevation in IL-10 serum level and peripheral blood Treg cell count, as well as a non significant dropping down in the serum level of IL-17 were also reported. Etanercept is a successful anti-TNF-α therapy in refractory RA patients for the first three months of the course therapy as indicated by clinical improvement and amelioration in 6 disease activity markers. https://ajps.uomustansiriyah.edu.iq/index.php/AJPS/article/view/121rheumatoid arthritis, IL-17, etanercept, Treg, TNF-α
spellingShingle Madha Mohammed Sheet
Laith Abdul-Elah Kamel
Jamal Nasser Farhood
The Role of Anti-TNFα Therapy in the Amelioration of Disease Burden in Patients with Refractory Rheumatoid Arthritis
Al-Mustansiriyah Journal of Pharmaceutical Sciences
rheumatoid arthritis, IL-17, etanercept, Treg, TNF-α
title The Role of Anti-TNFα Therapy in the Amelioration of Disease Burden in Patients with Refractory Rheumatoid Arthritis
title_full The Role of Anti-TNFα Therapy in the Amelioration of Disease Burden in Patients with Refractory Rheumatoid Arthritis
title_fullStr The Role of Anti-TNFα Therapy in the Amelioration of Disease Burden in Patients with Refractory Rheumatoid Arthritis
title_full_unstemmed The Role of Anti-TNFα Therapy in the Amelioration of Disease Burden in Patients with Refractory Rheumatoid Arthritis
title_short The Role of Anti-TNFα Therapy in the Amelioration of Disease Burden in Patients with Refractory Rheumatoid Arthritis
title_sort role of anti tnfα therapy in the amelioration of disease burden in patients with refractory rheumatoid arthritis
topic rheumatoid arthritis, IL-17, etanercept, Treg, TNF-α
url https://ajps.uomustansiriyah.edu.iq/index.php/AJPS/article/view/121
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