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Published on: June 21, 2016
Selective retinoic acid receptor ligands for rheumatoid arthritis
Blake C Beehler1, Constance E Brinckerhoff, Jacek Ostrowski
1Bristol-Myers Squibb Company, Pharmaceutical Research Institute, Route 206 and Provinceline Road, E1355 Mail Stop 13-08, Princeton, NJ 08543, USA. blake.beehler@bms.com
Abstract:
Retinoids, modulators of retinoic acid receptors (RARs), have been studied for over 20 years as potential therapeutic agents for rheumatoid arthritis (RA). Early successes at the in vitro and in vivo levels were overshadowed by disappointing clinical trials that yielded poor efficacy and unacceptable side effects. A greater understanding of retinoid biology has led to the development of many synthetic retinoids that selectively modulate the RAR isotypes. RAR selective retinoids have a high potential for improved pharmacology with reduced toxicity, thereby renewing interest for the use of retinoids in RA.
Insights
Retinoids, which modulate retinoic acid receptors (RARs), show renewed promise for rheumatoid arthritis (RA) treatment. Newer synthetic RAR-selective retinoids offer improved efficacy and reduced toxicity compared to earlier agents.
Area of Science:
- Immunology
- Pharmacology
- Rheumatology
Background:
- Retinoids, modulators of retinoic acid receptors (RARs), have been investigated for rheumatoid arthritis (RA) therapy for over two decades.
- Initial in vitro and in vivo studies showed promise, but clinical trials were hampered by poor efficacy and significant side effects.
- Advances in understanding retinoid biology have spurred the development of novel synthetic retinoids.
Purpose of the Study:
- To explore the potential of novel synthetic retinoids in treating rheumatoid arthritis.
- To evaluate the improved pharmacological profiles and reduced toxicity of RAR-selective retinoids.
- To re-evaluate the therapeutic utility of retinoids in the context of RA management.
Main Methods:
- Development of synthetic retinoids with selective modulation of RAR isotypes.
- Preclinical and clinical evaluation of these novel agents for RA treatment.
- Assessment of efficacy, side effect profiles, and pharmacokinetic properties.
Main Results:
- Synthetic retinoids demonstrate selective modulation of RAR isotypes.
- These agents exhibit potential for enhanced pharmacological activity.
- Reduced toxicity profiles are anticipated compared to earlier retinoid therapies.
Conclusions:
- RAR-selective retinoids represent a promising advancement in retinoid-based RA therapy.
- These compounds offer a renewed therapeutic avenue for rheumatoid arthritis due to improved safety and efficacy.
- Further research and clinical trials are warranted to fully establish the role of these agents in RA treatment.
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