Therapeutic Utility and Adverse Effects of Biologic Disease-Modifying Anti-Rheumatic Drugs in Inflammatory Arthritis

Targeting specific pathologic pro-inflammatory cytokines or related molecules leads to excellent therapeutic effects in inflammatory arthritis, including rheumatoid arthritis, ankylosing spondylitis, and psoriatic arthritis. Most of these agents, known as biologic disease-modifying anti-rheumatic dr...

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Main Authors: Hong Ki Min, Se Hee Kim, Hae-Rim Kim, Sang-Heon Lee
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/22/13913
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author Hong Ki Min
Se Hee Kim
Hae-Rim Kim
Sang-Heon Lee
author_facet Hong Ki Min
Se Hee Kim
Hae-Rim Kim
Sang-Heon Lee
author_sort Hong Ki Min
collection DOAJ
description Targeting specific pathologic pro-inflammatory cytokines or related molecules leads to excellent therapeutic effects in inflammatory arthritis, including rheumatoid arthritis, ankylosing spondylitis, and psoriatic arthritis. Most of these agents, known as biologic disease-modifying anti-rheumatic drugs (bDMARDs), are produced in live cell lines and are usually monoclonal antibodies. Several types of monoclonal antibodies target different pro-inflammatory cytokines, such as tumor necrosis factor-α, interleukin (IL)-17A, IL-6, and IL-23/12. Some bDMARDs, such as rituximab and abatacept, target specific cell-surface molecules to control the inflammatory response. The therapeutic effects of these bDMARDs differ in different forms of inflammatory arthritis and are associated with different adverse events. In this article, we summarize the therapeutic utility and adverse effects of bDMARDs and suggest future research directions for developing bDMARDs.
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spelling doaj.art-115b411fa5114d2997cf0456654f581a2023-11-24T08:35:29ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-11-0123221391310.3390/ijms232213913Therapeutic Utility and Adverse Effects of Biologic Disease-Modifying Anti-Rheumatic Drugs in Inflammatory ArthritisHong Ki Min0Se Hee Kim1Hae-Rim Kim2Sang-Heon Lee3Division of Rheumatology, Department of Internal Medicine, Konkuk University Medical Center, Seoul 05030, KoreaDivision of Rheumatology, Department of Internal Medicine, Konkuk University Medical Center, Seoul 05030, KoreaDivision of Rheumatology, Department of Internal Medicine, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul 05030, KoreaDivision of Rheumatology, Department of Internal Medicine, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul 05030, KoreaTargeting specific pathologic pro-inflammatory cytokines or related molecules leads to excellent therapeutic effects in inflammatory arthritis, including rheumatoid arthritis, ankylosing spondylitis, and psoriatic arthritis. Most of these agents, known as biologic disease-modifying anti-rheumatic drugs (bDMARDs), are produced in live cell lines and are usually monoclonal antibodies. Several types of monoclonal antibodies target different pro-inflammatory cytokines, such as tumor necrosis factor-α, interleukin (IL)-17A, IL-6, and IL-23/12. Some bDMARDs, such as rituximab and abatacept, target specific cell-surface molecules to control the inflammatory response. The therapeutic effects of these bDMARDs differ in different forms of inflammatory arthritis and are associated with different adverse events. In this article, we summarize the therapeutic utility and adverse effects of bDMARDs and suggest future research directions for developing bDMARDs.https://www.mdpi.com/1422-0067/23/22/13913monoclonal antibodybiologic disease-modifying anti-rheumatic drugrheumatoid arthritisspondyloarthritispsoriatic arthritisinflammatory arthritis
spellingShingle Hong Ki Min
Se Hee Kim
Hae-Rim Kim
Sang-Heon Lee
Therapeutic Utility and Adverse Effects of Biologic Disease-Modifying Anti-Rheumatic Drugs in Inflammatory Arthritis
International Journal of Molecular Sciences
monoclonal antibody
biologic disease-modifying anti-rheumatic drug
rheumatoid arthritis
spondyloarthritis
psoriatic arthritis
inflammatory arthritis
title Therapeutic Utility and Adverse Effects of Biologic Disease-Modifying Anti-Rheumatic Drugs in Inflammatory Arthritis
title_full Therapeutic Utility and Adverse Effects of Biologic Disease-Modifying Anti-Rheumatic Drugs in Inflammatory Arthritis
title_fullStr Therapeutic Utility and Adverse Effects of Biologic Disease-Modifying Anti-Rheumatic Drugs in Inflammatory Arthritis
title_full_unstemmed Therapeutic Utility and Adverse Effects of Biologic Disease-Modifying Anti-Rheumatic Drugs in Inflammatory Arthritis
title_short Therapeutic Utility and Adverse Effects of Biologic Disease-Modifying Anti-Rheumatic Drugs in Inflammatory Arthritis
title_sort therapeutic utility and adverse effects of biologic disease modifying anti rheumatic drugs in inflammatory arthritis
topic monoclonal antibody
biologic disease-modifying anti-rheumatic drug
rheumatoid arthritis
spondyloarthritis
psoriatic arthritis
inflammatory arthritis
url https://www.mdpi.com/1422-0067/23/22/13913
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