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Are biological targets the final goal for rheumatoid arthritis therapy?
1Department of Pharmaceutics, Rajiv Academy for Pharmacy, Uttar Pradesh, India.
Introduction:
Rheumatoid arthritis (RA) is a chronic inflammatory joint disorder that is characterized by inflammation of synovial membrane and the release of inflammatory cytokines that ultimately results in joint destruction and disability. The therapeutic treatment plan for treating RA patient initiates with disease-modifying antirheumatic agents (DMARDs) and ends with the use of biological agents. Sometimes a combination of DMARDs and the biological agents are aggressively initiated. But this is not sufficient to retard the underlying progression of the disease and hence the disease-associated pain persists. The solution lies in the treatment of causative factors. Modern therapy aims at targeting newer target sites that can not only overcome the problem of pain and disability but also minimize the occurrence of adverse effects faced by the traditional therapeutic approach.
Areas Covered:
This review covers the pathological background of the disease in brief, the traditional and newer biologicals, therapeutic targets and novel therapies for rheumatoid arthritis.
Expert Opinion:
Better management of the disease can be achieved by focusing on the causes and the factors of the disease. Newer therapies and targeting sites discussed in this review focus on treating the disability at the cellular level without affecting body's immune response and minimizing the chances of infection and inflammation.
Insights
Rheumatoid arthritis (RA) management can improve by targeting causative factors. Novel therapies offer cellular-level treatment for disability, minimizing side effects and infection risks associated with traditional approaches.
Area of Science:
- Rheumatology
- Immunology
- Pharmacology
Background:
- Rheumatoid arthritis (RA) is a chronic inflammatory joint disorder causing synovial inflammation, cytokine release, joint destruction, and disability.
- Current treatments, including disease-modifying antirheumatic agents (DMARDs) and biological agents, often fail to halt disease progression and alleviate persistent pain.
- There is a need to address the underlying causes of RA to improve therapeutic outcomes and minimize adverse effects.
Purpose of the Study:
- To provide a comprehensive review of rheumatoid arthritis pathology.
- To discuss traditional and novel biological therapies for RA.
- To explore emerging therapeutic targets and innovative treatment strategies for RA management.
Main Methods:
- Literature review of pathological mechanisms in rheumatoid arthritis.
- Analysis of current and emerging therapeutic agents, including DMARDs and biologics.
- Examination of novel therapeutic targets and treatment modalities for RA.
Main Results:
- Traditional RA treatments may not fully control disease progression or pain.
- Newer therapeutic strategies aim to target causative factors of RA.
- Novel therapies focus on cellular-level interventions to reduce disability.
Conclusions:
- Effective rheumatoid arthritis management requires addressing the disease's root causes.
- Emerging therapies offer targeted approaches to treat RA-related disability at the cellular level.
- These novel strategies aim to improve treatment efficacy while minimizing immune system impact, infection, and inflammation.
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