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Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF

Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab (Humira),...
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Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
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The JAK-STAT Signaling Pathway01:20

The JAK-STAT Signaling Pathway

Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as  SH2...
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
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An Adoptive Transfer Model of Rheumatoid Arthritis in Mice
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Rheumatoid arthritis: new developments in biologic therapy.

Annil Mahajan1, Rashmi Sharma, Ruchi Khajuria

  • 1Postgraduate Department of General Medicine, Government Medical College, Jammu 180016.

Journal of the Indian Medical Association
|October 25, 2006
PubMed
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Biologic agents have revolutionized rheumatoid arthritis (RA) treatment by targeting specific molecules. Combination therapy, like methotrexate with biologics such as etanercept and infliximab, shows synergistic effects for RA management.

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Area of Science:

  • Rheumatology and Immunology
  • Biologic Therapies

Background:

  • Biologic agents, products of biological systems, target specific molecules and have transformed rheumatoid arthritis (RA) and inflammatory disease treatment.
  • Activation of CD4+ T cells by endogenous antigens leads to cytokine production (IL-1, IL-6, TNF-alpha), rheumatoid factor, and osteogenesis-stimulating ligands, causing joint destruction in RA.

Purpose of the Study:

  • To review the evolving therapeutic landscape for rheumatoid arthritis.
  • To highlight the role and availability of biologic agents in RA management.

Main Methods:

  • Review of recent advancements in biologic therapies for RA.
  • Discussion of identified endogenous antigens and their role in RA pathogenesis.
  • Examination of combination therapy efficacy, specifically methotrexate with biologics.

Main Results:

  • A significant wave of new RA therapies, including infliximab, adalimumab, etanercept, and anti-cytokine agents, is available.
  • Combination therapy of methotrexate plus a single biologic agent has demonstrated synergistic effects.
  • Etanercept and infliximab are highlighted as biologics currently available in India.

Conclusions:

  • Biologic agents represent a major advancement in treating RA and other inflammatory conditions.
  • Combination therapies offer enhanced efficacy, with methotrexate plus biologics showing promise.
  • The availability of specific biologics like etanercept and infliximab in India provides new treatment options.