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| January 2014 Volume 10 Number 1 | |||||||||||||||||||||||||||||||||||||
In this issue
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| NEWS AND VIEWS | Top | ||||||||||||||||||||||||||||||||||||
| Spondyloarthritis: Gut inflammation in SpA: flagellin joins the dance? Peggy Jacques & Dirk Elewaut Published online: 10 December 2013 p5 | doi:10.1038/nrrheum.2013.191 New studies demonstrate the development of anti-flagellin antibodies in patients with ankylosing spondylitis. Does their presence point to mucosal dysregulation as a pathogenic mechanism of the disease? Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Rheumatoid arthritis: New EULAR guidelines for RA: a job well done Joel M. Kremer Published online: 03 December 2013 p6 | doi:10.1038/nrrheum.2013.188 The 2013 update of the EULAR recommendations for the treatment of rheumatoid arthritis has evolved in several domains, and has, for the first time, elevated non-TNF-inhibitor biologic agents to the same status as TNF inhibitors. These transparently derived and scholarly recommendations will contribute to the evolving dialogue on the proper use of these agents. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Crystal arthritis: Environment and genetics in gout: a maze for clinicians? Fernando Perez-Ruiz & Ana María Herrero-Beites Published online: 12 November 2013 p8 | doi:10.1038/nrrheum.2013.173 The association of environmental dietary factors and polymorphisms of urate transporters with an increased risk of gout has been well established. Nevertheless, the influence of genetics and diet on serum urate concentrations, and the clinical relevance to individual patients, seems to be limited. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| REVIEWS | Top | ||||||||||||||||||||||||||||||||||||
| Progress in intra-articular therapy Christopher H. Evans, Virginia B. Kraus & Lori A. Setton Published online: 05 November 2013 p11 | doi:10.1038/nrrheum.2013.159 If a drug is intended to work in a joint, then direct injection seems likely to be an appropriate route of delivery, to minimize adverse events and limit the amount of therapeutic agent required. Ensuring such a drug remains in the joint long enough to produce an effect, however, is another matter. Successes seen, lessons learned, and developmental prospects in intra-articular therapy are explored in this Review. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Treatment of systemic lupus erythematosus: new therapeutic avenues and blind alleys Aikaterini Thanou & Joan T. Merrill Published online: 08 October 2013 p23 | doi:10.1038/nrrheum.2013.145 Despite our increased knowledge of the complex pathways of immune dysregulation that occur in systemic lupus erythematosus, advanced-phase clinical trials of new biologic agents have repeatedly failed to achieve their clinical end points. In this Review, the authors discuss the progress and pitfalls that have been faced by some of the investigational treatments in this field. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Standardization of autoantibody testing: a paradigm for serology in rheumatic diseases Pier Luigi Meroni, Martina Biggioggero, Silvia S. Pierangeli, Joanna Sheldon, Ingrid Zegers & Maria Orietta Borghi Published online: 26 November 2013 p35 | doi:10.1038/nrrheum.2013.180 Autoantibody testing is key for the diagnosis, classification and management of systemic autoimmune rheumatic diseases; however, issues regarding the reproducibility and reliability of these tests currently limit their usefulness. Approaches to harmonize autoantibody tests, including the development of technical guidelines and the availability of suitable reference materials for calibration and quality control, are discussed in this Review. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Role of cytokines in intervertebral disc degeneration: pain and disc content Makarand V. Risbud & Irving M. Shapiro Published online: 29 October 2013 p44 | doi:10.1038/nrrheum.2013.160 Intervertebral disc (IVD) degeneration is a common cause of back, neck, and radicular pain. High levels of a number of inflammatory cytokines that are secreted by IVD cells characterize, and are involved in the pathogenesis of, IVD degeneration. In this comprehensive Review, the authors describe the key inflammatory cytokines that are involved in different phases of disc degeneration, and they describe the outcomes of the clinical studies that have investigated blocking cytokine function. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| PERSPECTIVES | Top | ||||||||||||||||||||||||||||||||||||
| OPINION The landscape of comparative effectiveness research in rheumatology Esi Morgan DeWitt & Hermine I. Brunner Published online: 24 September 2013 p57 | doi:10.1038/nrrheum.2013.140 Comparative effectiveness research (CER) takes the clinical characteristics of patients into account to determine the most beneficial treatments. Here, the methodological approaches and the analytical challenges of CER are described, as well as the considerations needed to ensure high-standards of CER in rheumatology. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
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| *Journal Citation Reports, Thomson, 2012. Nature Reviews Rheumatology was previously published as Nature Clinical Practice Rheumatology. |
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