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Published on: May 16, 2025
Do antivirals have any utility in the treatment of arthritis?
1WHO Collaborating Center for Molecular Biology and Novel Therapeutic Strategies for Rheumatic Diseases, Center for Experimental Rheumatology, Department of Rheumatology, University Hospital, Gloriastrasse 25, CH-8091 Zurich, Switzerland.
Abstract:
Viruses have been linked to arthritides by several pathways. Apart from the ability of different viral pathogens to cause arthritic symptoms directly, only some circumstantial evidence for the involvement of (retro)viruses in the pathogenesis of rheumatoid arthritis has been presented in recent years. Therefore, the question of whether antiviral agents can be used to treat arthritis has become of interest. However, the mechanisms by which exogenous retroviral infection as well as activation of endogenous retroviral sequences may potentially lead to the induction of rheumatoid arthritis is just beginning to emerge. Moreover, the hypothesis that persistent viral infection may account for some hitherto unclassified, chronic arthritides, still needs to be confirmed. Therefore, the use of antiviral agents in the treatment of arthritides has been limited to viral complications of anti-arthritic therapy and to some experimental approaches. In this review, we will focus on current concepts of viral involvement in arthritis and point to future directions in the use of antiviral agents for arthritis.
Insights
Viruses may directly cause arthritis or contribute to rheumatoid arthritis pathogenesis. Research is exploring antiviral therapies for chronic arthritis, though their use remains limited to specific cases and experimental studies.
Area of Science:
- Virology
- Rheumatology
- Immunology
Background:
- Viruses are implicated in various arthritides through direct infection or indirect mechanisms.
- Circumstantial evidence suggests (retro)viral involvement in rheumatoid arthritis pathogenesis.
- The precise mechanisms linking viral infections to rheumatoid arthritis are still under investigation.
Purpose of the Study:
- To review current understanding of viral involvement in arthritis.
- To explore the potential of antiviral agents in treating arthritis.
- To identify future research directions for antiviral therapies in rheumatology.
Main Methods:
- Literature review of studies on viral infections and arthritis.
- Analysis of evidence for (retro)viral roles in rheumatoid arthritis.
- Examination of current and experimental applications of antiviral agents.
Main Results:
- Direct viral causation of arthritis is established for some pathogens.
- Evidence for (retro)viral induction of rheumatoid arthritis is emerging but not fully elucidated.
- The use of antiviral agents is currently restricted.
Conclusions:
- Further research is needed to confirm persistent viral infections as a cause of chronic arthritis.
- Understanding viral mechanisms is crucial for developing effective antiviral treatments for arthritis.
- Antiviral therapies hold potential but require more investigation for broader arthritis applications.
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