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Cited by 932

The DOI matches its Crossref record; 276 of the 276 references it cites were found in a registry or an index.

Update on the Pathomechanism, Diagnosis, and Treatment Options for Rheumatoid Arthritis

Open access
Lin, Yen-Ju, Anzaghe, Martina, Schülke, Stefan·2020·Cells

Abstract

Rheumatoid arthritis (RA) is an autoimmune disease that involves multiple joints bilaterally. It is characterized by an inflammation of the tendon (tenosynovitis) resulting in both cartilage destruction and bone erosion. While until the 1990s RA frequently resulted in disability, inability to work, and increased mortality, newer treatment options have made RA a manageable disease. Here, great progress has been made in the development of disease-modifying anti-rheumatic drugs (DMARDs) which target inflammation and thereby prevent further joint damage. The available DMARDs are subdivided into (1) conventional synthetic DMARDs (methotrexate, hydrochloroquine, and sulfadiazine), (2) targeted synthetic DMARDs (pan-JAK- and JAK1/2-inhibitors), and (3) biologic DMARDs (tumor necrosis factor (TNF)-α inhibitors, TNF-receptor (R) inhibitors, IL-6 inhibitors, IL-6R inhibitors, B cell depleting antibodies, and inhibitors of co-stimulatory molecules). While DMARDs have repeatedly demonstrated the potential to greatly improve disease symptoms and prevent disease progression in RA patients, they are associated with considerable side-effects and high financial costs. This review summarizes our current understanding of the underlying pathomechanism, diagnosis of RA, as well as the mode of action, clinical benefits, and side-effects of the currently available DMARDs.

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Metadata

Authors
Lin, Y.-J., Anzaghe, M., & Schülke, S.
Venue
Cells
Publisher
MDPI AG
Published
2020-04-03
Volume
9
Issue
4
Pages
880
ISSN
2073-4409 (ISSN-L)
OpenAlex
W3014146563
Cited by
932
References
276
FWCI
69.60
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Update on the Pathomechanism, Diagnosis, and Treatment Options for Rheumatoid Arthritis. https://app.cochat.ai/papers/10.3390/cells9040880
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Lin, Y.-J., Anzaghe, M., & Schülke, S. (2020). Update on the Pathomechanism, Diagnosis, and Treatment Options for Rheumatoid Arthritis. Cells. https://doi.org/10.3390/cells9040880

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