2017
DOI: 10.1080/14656566.2017.1378343
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Small molecule therapy for managing moderate to severe psoriatic arthritis

Abstract: The majority of psoriatic arthritis (PsA) patients experience a good clinical response to conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) and biologic therapies (bDMARDs). However, treatment failure with these drugs can represent a relevant clinical problem. Moreover, in daily clinical practice, the appropriate identification of patients eligible for these agents can be conditioned by numerous aspects, mainly represented by comorbidities, such as history of malignancies, chronic and rec… Show more

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Cited by 40 publications
(25 citation statements)
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“…Moreover, it should be noted that IL-17 has been shown to play a key role in other forms of arthritis, such as Psoriatic Arthritis (PsA), in which the induction of IL-17 cytokines axis (IL-17A, IL-17F and IL-22) promotes intra-and/or peri-articular inflammation [71,72,73]. To better understand this previous observation and viewing the coin from other side a flow cytometry bioassay was carried out on peripheral blood to evaluate the balance Treg/Th17 after MSU crystals induction and IL-17Ab treatment.…”
Section: Accepted Manuscriptmentioning
confidence: 99%
“…Moreover, it should be noted that IL-17 has been shown to play a key role in other forms of arthritis, such as Psoriatic Arthritis (PsA), in which the induction of IL-17 cytokines axis (IL-17A, IL-17F and IL-22) promotes intra-and/or peri-articular inflammation [71,72,73]. To better understand this previous observation and viewing the coin from other side a flow cytometry bioassay was carried out on peripheral blood to evaluate the balance Treg/Th17 after MSU crystals induction and IL-17Ab treatment.…”
Section: Accepted Manuscriptmentioning
confidence: 99%
“…See Table 1 for summary of indication and oral administration for jak inhibitors. Jak 1/2 blockade represents an attractive cellular target because Jak 3 but not Jak 1/2 blockade induces natural killer cell depletion and systemic side effects that can promote immunosuppression (79)(80)(81)(82). Ruxolitinib has demonstrated potent inhibition of reservoir establishment, maintenance and expansion in primary T cells and macrophages in vitro and ex vivo (7), and demonstrated reduction in immune activation markers associated with HIV-1 persistence including CCR5, HLA-DR, CD38, CD25, Ki67, and PD-1.…”
Section: Jak Inhibitorsmentioning
confidence: 99%
“…1 zu entnehmen. Bei PsA spiegelt sich die Erweiterung der therapeutischen Möglichkeiten in stärkerem Ausmaß wieder als bei SpA, Anti-IL17-Präparate sind ebenso wie anti-IL12/23 Präparate und PDE-4 Hemmer sind offenbar bereits fester Bestandteil des therapeutischen Armamentariums [22][23].…”
Section: Psoriasis-arthritisunclassified