TNF-alpha in rheumatoid arthritis and prospects of anti-TNF therapy.

Our work has shown that TNF alpha is produced by cultured mononuclear cells from rheumatoid arthritis joints and appears to regulate the production of IL-1. Immunohistochemical examination has shown the presence of TNF alpha in the synovium, e.g. in the lining layer, some endothelial cells and most...

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Main Authors: Maini, R, Brennan, F, Williams, R, Chu, C, Cope, A, Gibbons, D, Elliott, M, Feldmann, M
Format: Journal article
Language:English
Published: 1993
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author Maini, R
Brennan, F
Williams, R
Chu, C
Cope, A
Gibbons, D
Elliott, M
Feldmann, M
author_facet Maini, R
Brennan, F
Williams, R
Chu, C
Cope, A
Gibbons, D
Elliott, M
Feldmann, M
author_sort Maini, R
collection OXFORD
description Our work has shown that TNF alpha is produced by cultured mononuclear cells from rheumatoid arthritis joints and appears to regulate the production of IL-1. Immunohistochemical examination has shown the presence of TNF alpha in the synovium, e.g. in the lining layer, some endothelial cells and most importantly, in the cells in the cartilage pannus junction. TNF receptors (both p55 and p75) have a similar distribution, thereby suggesting that TNF has the potential for autocrine and paracrine activity in the joint. The concept that TNF alpha is pathogenic in inflammatory arthritis has been validated by showing that neutralizing monoclonal anti-TNF antibodies significantly attenuate collagen-induced arthritis in mice. In preliminary trials in rheumatoid patients anti-TNF appears to have an impressive effect on indices of disease activity including C-reactive production and serum amyloid-A production. TNF alpha appears to be a relevant therapeutic target in rheumatoid disease.
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spelling oxford-uuid:2af1e173-6f39-47c6-a524-a9faa8c326452022-03-26T12:28:03ZTNF-alpha in rheumatoid arthritis and prospects of anti-TNF therapy.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2af1e173-6f39-47c6-a524-a9faa8c32645EnglishSymplectic Elements at Oxford1993Maini, RBrennan, FWilliams, RChu, CCope, AGibbons, DElliott, MFeldmann, MOur work has shown that TNF alpha is produced by cultured mononuclear cells from rheumatoid arthritis joints and appears to regulate the production of IL-1. Immunohistochemical examination has shown the presence of TNF alpha in the synovium, e.g. in the lining layer, some endothelial cells and most importantly, in the cells in the cartilage pannus junction. TNF receptors (both p55 and p75) have a similar distribution, thereby suggesting that TNF has the potential for autocrine and paracrine activity in the joint. The concept that TNF alpha is pathogenic in inflammatory arthritis has been validated by showing that neutralizing monoclonal anti-TNF antibodies significantly attenuate collagen-induced arthritis in mice. In preliminary trials in rheumatoid patients anti-TNF appears to have an impressive effect on indices of disease activity including C-reactive production and serum amyloid-A production. TNF alpha appears to be a relevant therapeutic target in rheumatoid disease.
spellingShingle Maini, R
Brennan, F
Williams, R
Chu, C
Cope, A
Gibbons, D
Elliott, M
Feldmann, M
TNF-alpha in rheumatoid arthritis and prospects of anti-TNF therapy.
title TNF-alpha in rheumatoid arthritis and prospects of anti-TNF therapy.
title_full TNF-alpha in rheumatoid arthritis and prospects of anti-TNF therapy.
title_fullStr TNF-alpha in rheumatoid arthritis and prospects of anti-TNF therapy.
title_full_unstemmed TNF-alpha in rheumatoid arthritis and prospects of anti-TNF therapy.
title_short TNF-alpha in rheumatoid arthritis and prospects of anti-TNF therapy.
title_sort tnf alpha in rheumatoid arthritis and prospects of anti tnf therapy
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