2009
DOI: 10.1136/ard.2009.119479
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"Go upstream, young man": lessons learned from the p38 saga

Abstract: Despite the success of biological therapies in rheumatoid arthritis

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Cited by 194 publications
(173 citation statements)
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References 75 publications
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“…They comprise three groups; p38, c-Jun N-terminal kinase (JNK) and extracellular-regulated protein kinase (ERK) with p38 the most explored for treatment potential. Inhibition of various p38 inhibitors proved therapeutic in CIA and other models of arthritis, but numerous p38 inhibitors did not progress past phase III RA trials with both toxicity and poor efficacy cited for their failure in the clinic (Hammaker and Firestein, 2010).…”
Section: (B) Small Moleculesmentioning
confidence: 99%
“…They comprise three groups; p38, c-Jun N-terminal kinase (JNK) and extracellular-regulated protein kinase (ERK) with p38 the most explored for treatment potential. Inhibition of various p38 inhibitors proved therapeutic in CIA and other models of arthritis, but numerous p38 inhibitors did not progress past phase III RA trials with both toxicity and poor efficacy cited for their failure in the clinic (Hammaker and Firestein, 2010).…”
Section: (B) Small Moleculesmentioning
confidence: 99%
“…Of note, several targets for gene therapy such as IL-1Ra, TNF-, and IL-17 have already yielded DMARBDs or other forms of neutralizing compounds which are either currently being assessed in pre-clinical studies, tested in RA clinical trials or routinely used in the treatment of RA in clinical practice (Genovese et al, 2010;Finckh & Gabay, 2008;Gibbons & Hyrich, 2009;Ishiguro et al, 2011;Sênolt et al, 2009;Toh et al, 2010). However, the positive results obtained with various gene therapy strategies in cell cultures and/or in animal models of arthritis must always be cautiously interpreted as the previous supportive results with inhibitors of p38 kinase in arthritis animal models (Böhm et al, 2009;Hammaker & Firestein, 2010) which provided the impetus for the clinical testing of p38 kinase inhibitors proved to be disappointing in terms of clinical outcomes in human RA trials (Genovese, 2009). Thus, it remains to be seen if the biopharmaceutical industry will use pertinent targets for RA intervention such as IL-10, BAFF, MMP-9, etc.…”
Section: Discussionmentioning
confidence: 99%
“…Dtk, morfogenez, hücre büyümesi, migrasyon ve yaşamda kalma gibi endotel hücrelerin işlevlerinde kritik bir rol oynamakta ve in vivo koşullarda damar bütünlüğü-nün sürdürülmesine katkıda bulunmaktadır (4,5 leştiren ITAM'leri fosforile etmektedir. Etkinleşen Dtk, MAPK, fosfoinozitit-3-kinaz (phosphoinositide-3-kinase; PI3K) ve fosfolipaz C (phospholipase C, PLC) gibi çoklu sinyal ileti yolları aracılığı ile enflamasyonu düzenlemektedir (52). IgE reseptörü aracılığıyla antijen tarafından uyarılan mast hücrelerinde Dtk, sitoplazmik FLA 2 'nin etkinleşmesi için gereklidir (53).…”
Section: Dtk'nin Ekspresyonu Ve Etkinliğinin Düzenlenmesiunclassified