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June 2015 Volume 11 Number 6 | |||||||||||||||||||||||||||||||||||||
In this issue Research Highlights News and Views Reviews Perspectives
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NEWS AND VIEWS | Top | ||||||||||||||||||||||||||||||||||||
Rheumatoid arthritis: IL-6 inhibition in RA—déjà vu all over again? Eric M. Ruderman Published online: 28 April 2015 p321 | doi:10.1038/nrrheum.2015.58 In a phase II-III trial, a novel antibody targeting IL-6 receptor α (IL-6Rα), sarilumab, conferred clinical, functional and structural benefits in rheumatoid arthritis. These results, though, seem quite similar to those for tocilizumab, the existing anti-IL-6Rα antibody, as well as for other agents currently in development that target this same pathway. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Therapy: Facing up to biosimilar agents—the ACR position Morton Scheinberg Published online: 28 April 2015 p322 | doi:10.1038/nrrheum.2015.57 As patents expire for biologic reference products (innovators), biosimilar agents are joining the treatment landscape in rheumatology. Release of an ACR position statement on biosimilars prompts US rheumatologists to focus on issues relating to the clinical use of these agents and can also be helpful for rheumatologists in other regions where biosimilar agent regulatory processes are not yet fully implemented. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Clinical trials: A transparent future for clinical trial reporting Fotini B. Karassa & John P. A. Ioannidis Published online: 05 May 2015 p324 | doi:10.1038/nrrheum.2015.65 Compliance with reporting clinical trial results varies across research fields and types of sponsors. In rheumatology, most industry-funded trials of biologic agents are currently reported promptly. Optimizing clinical research will nevertheless require steps beyond deposition of summary results, including making raw data and protocols available, and assuring independence of the research agenda. Full Text | PDF | Supplementary information | |||||||||||||||||||||||||||||||||||||
Connective tissue diseases: The burden of serious infections in SLE Jessica Widdifield & Sasha Bernatsky Published online: 21 April 2015 p326 | doi:10.1038/nrrheum.2015.55 Is the risk of hospitalization and death due to serious infections on the rise in patients with systemic lupus erythematosus (SLE)? A population-based study provides insights into these trends and highlights the need for safe, effective treatment strategies in SLE. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
REVIEWS | Top | ||||||||||||||||||||||||||||||||||||
Trojan horses and guided missiles: targeted therapies in the war on arthritis Mathieu Ferrari, Shimobi C. Onuoha & Costantino Pitzalis Published online: 03 March 2015 p328 | doi:10.1038/nrrheum.2015.17 Despite the successes of biologic therapies in rheumatoid arthritis (RA), not all patients respond to available drugs, and systemic toxicity of some drugs often lead to therapy discontinuation. New developments in polymer–drug conjugates and nanoparticle technology can improve drug efficacy in patients with RA by targeting therapeutic agents to inflamed tissues and extending the half-life of drugs. In this Review, Ferrari and colleagues describe new techniques being explored to improve accumulation of therapeutic agents in the inflamed synovium—a new strategy to boost drug efficacy at disease sites without affecting healthy tissues. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Uveitis associated with juvenile idiopathic arthritis Ethan S. Sen, Andrew D. Dick & Athimalaipet V. Ramanan Published online: 31 March 2015 p338 | doi:10.1038/nrrheum.2015.20 The most common form of eye inflammation associated with juvenile idiopathic arthritis (JIA) is chronic anterior uveitis, which, if inadequately treated, can lead to ocular complications, including blindness. Sen and colleagues discuss the epidemiology, immunopathogenesis and management of JIA-associated uveitis, and describe the potential for biomarkers to improve its treatment. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Clocking in: chronobiology in rheumatoid arthritis Frank Buttgereit, Josef S. Smolen, Andrew N. Coogan & Christian Cajochen Published online: 24 March 2015 p349 | doi:10.1038/nrrheum.2015.31 Circadian rhythms are well established as having an important role in human biology. In this Review, circadian biology is presented in reference to the regulation of rheumatoid arthritis and the potential for chronotherapeutic intervention. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Cellular imaging in rheumatic diseases Robert A. Benson, Iain B. McInnes, James M. Brewer & Paul Garside Published online: 24 March 2015 p357 | doi:10.1038/nrrheum.2015.34 Several molecular pathways and cellular effector functions have been described for the pathology of rheumatoid arthritis, but fundamental questions remain about the basic organization of disease-driving immune responses. In this Review, Benson and colleagues describe how intact tissue imaging in vivo has facilitated studies of the dynamic nature of cellular immune responses, and how these findings can be translated to new therapeutics. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
PERSPECTIVES | Top | ||||||||||||||||||||||||||||||||||||
OPINION A pathogenetic role for IL-21 in primary Sjögren syndrome Seung-Ki Kwok, Jennifer Lee, Di Yu, Kwi Young Kang, Mi-La Cho, Hae-Rim Kim, Ji Hyeon Ju, Sang-Heon Lee, Sung-Hwan Park & Ho-Youn Kim Published online: 13 January 2015 p368 | doi:10.1038/nrrheum.2014.225 Kim et al. hypothesize that IL-21 is crucial to the pathogenesis of primary Sjögren syndrome (pSS), focusing on evidence of an interplay between the innate and adaptive immune responses mediated by the effects of IL-21 on immune cells. This new perspective might ultimately offer insight into novel approaches to the treatment of pSS. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
OPINION Article series: APLAR Perspectives Genetics of rheumatoid arthritis in Asia—present and future Kazuhiko Yamamoto, Yukinori Okada, Akari Suzuki & Yuta Kochi Published online: 10 February 2015 p375 | doi:10.1038/nrrheum.2015.7 Genetic factors play an important part in the disease heterogeneity observed in patients with rheumatoid arthritis (RA). Genome-wide association studies (GWAS) have linked common single-nucleotide polymorphisms with the risk of developing RA, but have also highlighted the genetic heterogeneity between Asian and European patients with this disease. In this Perspectives article, the authors discuss recent advances from GWAS in Asian patients with RA, and suggest that better knowledge of the interface between genetic and environmental factors could help our understanding of the disease. Abstract | Full Text | PDF | Supplementary information | |||||||||||||||||||||||||||||||||||||
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*Journal Citation Reports, Thomson, 2013. Nature Reviews Rheumatology was previously published as Nature Clinical Practice Rheumatology. |
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