The p38 MAPK Pathway in Rheumatoid Arthritis: A Sideways Look.

The p38 mitogen-activated protein kinase (MAPK) signaling pathway has been strongly implicated in many of the processes that underlie the pathology of rheumatoid arthritis (RA). For many years it has been considered a promising target for development of new anti-inflammatory drugs with which to trea...

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Main Authors: Clark, A, Dean, J
Format: Journal article
Jezik:English
Izdano: 2012
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author Clark, A
Dean, J
author_facet Clark, A
Dean, J
author_sort Clark, A
collection OXFORD
description The p38 mitogen-activated protein kinase (MAPK) signaling pathway has been strongly implicated in many of the processes that underlie the pathology of rheumatoid arthritis (RA). For many years it has been considered a promising target for development of new anti-inflammatory drugs with which to treat RA and other chronic immune-mediated inflammatory diseases. However, several recent clinical trials have concluded in a disappointing manner. Why is this so, if p38 MAPK clearly contributes to the excessive production of inflammatory mediators, the destruction of bone and cartilage? We argue that, to explain the apparent failure of p38 inhibitors in the rheumatology clinic, we need to understand better the complexities of the p38 pathway and its many levels of communication with other cellular signaling pathways. In this review we look at the p38 MAPK pathway from a slightly different perspective, emphasising its role in post-transcriptional rather than transcriptional control of gene expression, and its contribution to the off-phase rather than the on-phase of the inflammatory response.
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spelling oxford-uuid:36fe1b76-530d-4b57-ac5c-5d1e1775888c2022-03-26T13:41:18ZThe p38 MAPK Pathway in Rheumatoid Arthritis: A Sideways Look.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:36fe1b76-530d-4b57-ac5c-5d1e1775888cEnglishSymplectic Elements at Oxford2012Clark, ADean, JThe p38 mitogen-activated protein kinase (MAPK) signaling pathway has been strongly implicated in many of the processes that underlie the pathology of rheumatoid arthritis (RA). For many years it has been considered a promising target for development of new anti-inflammatory drugs with which to treat RA and other chronic immune-mediated inflammatory diseases. However, several recent clinical trials have concluded in a disappointing manner. Why is this so, if p38 MAPK clearly contributes to the excessive production of inflammatory mediators, the destruction of bone and cartilage? We argue that, to explain the apparent failure of p38 inhibitors in the rheumatology clinic, we need to understand better the complexities of the p38 pathway and its many levels of communication with other cellular signaling pathways. In this review we look at the p38 MAPK pathway from a slightly different perspective, emphasising its role in post-transcriptional rather than transcriptional control of gene expression, and its contribution to the off-phase rather than the on-phase of the inflammatory response.
spellingShingle Clark, A
Dean, J
The p38 MAPK Pathway in Rheumatoid Arthritis: A Sideways Look.
title The p38 MAPK Pathway in Rheumatoid Arthritis: A Sideways Look.
title_full The p38 MAPK Pathway in Rheumatoid Arthritis: A Sideways Look.
title_fullStr The p38 MAPK Pathway in Rheumatoid Arthritis: A Sideways Look.
title_full_unstemmed The p38 MAPK Pathway in Rheumatoid Arthritis: A Sideways Look.
title_short The p38 MAPK Pathway in Rheumatoid Arthritis: A Sideways Look.
title_sort p38 mapk pathway in rheumatoid arthritis a sideways look
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