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Published on: August 16, 2019
Translating molecular insights in autoimmunity into effective therapy
1Kennedy Institute of Rheumatology Division, Imperial College London, London W6 8LH, UK. m.feldmann@imperial.ac.uk
Annual Review of Immunology
|November 15, 2008
Summary
Research into autoimmunity and rheumatoid arthritis (RA) revealed that tumor necrosis factor (TNF) drives RA pathogenesis. Targeting TNF with monoclonal antibodies revolutionized RA treatment, highlighting cytokines as key therapeutic targets.
Area of Science:
- Immunology
- Rheumatology
- Pathogenesis of Autoimmune Diseases
Background:
- Early research focused on autoimmunity and immune regulation.
- Investigation linked upregulated antigen presentation to human autoimmunity.
- Explored the role of cytokines in rheumatoid arthritis (RA) pathogenesis.
Discussion:
- Defined a TNF-dependent cytokine cascade driving RA manifestations.
- Demonstrated the therapeutic potential of targeting cytokines in RA.
- Successful clinical trials of anti-TNF monoclonal antibodies in RA patients.
Key Insights:
- Cytokines are critical rate-limiting steps in disease pathogenesis.
- Cytokine blockade represents a viable therapeutic strategy.
- Targeting TNF revolutionized RA treatment and medical practice.
Outlook:
- Exploring the hypothesis that cytokine blockade can address diverse major medical needs.
- Investigating the broader applicability of cytokine-targeting therapies.
- Continuing research into novel therapeutic targets in autoimmune diseases.
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