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The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.

Role of cytokines in rheumatoid arthritis: an education in pathophysiology and therapeutics

Feldmann, Marc, Maini, Sir Ravinder N.·2008·Immunological Reviews

Abstract

Summary: Advances in cDNA and monoclonal antibody technology in the 1980s fuelled the discovery and characterization of the properties of cytokines. It became apparent that because cytokines were expressed in tissues derived from autoimmune diseases, they were likely to be of fundamental importance in disease pathogenesis and developing a new class of biological therapeutics. In this review, we describe the history of bench to bedside translation of work that led to the identification of tumor necrosis factor (TNF) as a key regulator of the loss of homeostatic immune‐inflammatory responses in rheumatoid arthritis (RA) and a good therapeutic target. First in human clinical trials in collaboration with a biotechnology company, the safety and efficacy of TNF blockade with a chimeric monoclonal antibody was substantiated in patients refractory to standard anti‐rheumatoid drugs. Abnormal immune‐inflammatory responses after therapy showed improvement and remain a focus of ongoing research in many laboratories. Longer term multi‐center studies that followed with several anti‐TNF biologicals have demonstrated the augmented efficacy, including inducing clinical remission, of low dose methotrexate and anti‐TNF therapy co‐therapy, but serious infections and lymphomas in a low frequency have been observed. In the course of the past decades, three ‘blockbuster’ anti‐TNF biologicals are in the clinic. Over a million patients with RA and other immune‐mediated diseases have been successfully treated, and a better perspective on the risk of harm and its management has become part of good clinical practice. This success has encouraged a burgeoning industry of biologicals for chronic diseases.

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Crossref · 10.1111/j.1600-065x.2008.00626.x

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Metadata

Authors
Feldmann, M., & Maini, S. R. N.
Venue
Immunological Reviews
Publisher
Wiley
Published
2008-06
Volume
223
Issue
1
Pages
7-19
ISSN
  • 0105-2896 (ISSN-L)
  • 1600-065X
OpenAlex
W2066143619
Cited by
381
References
64
FWCI
4.78
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Role of cytokines in rheumatoid arthritis: an education in pathophysiology and therapeutics. https://app.cochat.ai/papers/10.1111/j.1600-065x.2008.00626.x
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Feldmann, M., & Maini, S. R. N. (2008). Role of cytokines in rheumatoid arthritis: an education in pathophysiology and therapeutics. Immunological Reviews. https://doi.org/10.1111/j.1600-065x.2008.00626.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.