PMID- 11075394 OWN - NLM STAT- MEDLINE DCOM- 20001128 LR - 20190826 IS - 0248-8663 (Print) IS - 0248-8663 (Linking) VI - 21 IP - 10 DP - 2000 Oct TI - [Anti-TNF-alpha monoclonal antibodies in the treatment of rheumatoid arthritis]. PG - 854-62 AB - INTRODUCTION: Current slow-acting anti-rheumatic drugs available for rheumatoid arthritis can fail for certain severe cases; some are used empirically. Improvements in our knowledge of its pathogenesis and advances in molecular biology have made it possible to develop partially selective immunotherapy approaches. CURRENT KNOWLEDGE AND KEY POINTS: Tumor necrosis factor-alpha (TNF-alpha) is a critical inflammatory mediator in rheumatoid arthritis and may therefore be a useful target for specific immunotherapy. This article summarizes clinical studies using anti-TNF-alpha antibodies. It appears that there is good evidence for both safety and beneficial effects of anti-TNF-alpha antibodies in short-term treatment of rheumatoid arthritis. FUTURE PROSPECTS AND PROJECTS: It remains to be determined whether specific blockade of a single inflammatory mediator may be useful in long-term management. Therapeutic strategies aimed at concomitantly interfering with multiple pathogenic pathways are currently under investigation. FAU - Mugnier, B AU - Mugnier B AD - Service de rhumatologie, hopital de la Conception, Marseille, France. FAU - Bouvenot, G AU - Bouvenot G LA - fre PT - Journal Article PT - Review TT - Les anticorps monoclonaux anti-TNF-alpha dans le traitement de la polyarthrite rhumatoide. PL - France TA - Rev Med Interne JT - La Revue de medecine interne JID - 8101383 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antirheumatic Agents) RN - 0 (Tumor Necrosis Factor-alpha) RN - 1V3N66A87N (CDP 571) RN - B72HH48FLU (Infliximab) SB - IM MH - Antibodies, Monoclonal/immunology/*therapeutic use MH - Antirheumatic Agents/immunology/*therapeutic use MH - Arthritis, Rheumatoid/immunology/*therapy MH - Humans MH - Immunotherapy/methods MH - Infliximab MH - Research Design MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors/immunology RF - 43 EDAT- 2000/11/15 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/11/15 11:00 PHST- 2000/11/15 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/11/15 11:00 [entrez] AID - S0248866300002368 [pii] AID - 10.1016/s0248-8663(00)00236-8 [doi] PST - ppublish SO - Rev Med Interne. 2000 Oct;21(10):854-62. doi: 10.1016/s0248-8663(00)00236-8.