PMID- 21296193 OWN - NLM STAT- MEDLINE DCOM- 20111004 LR - 20151119 IS - 1873-0183 (Electronic) IS - 1568-9972 (Linking) VI - 10 IP - 8 DP - 2011 Jun TI - Does polymorphysm of genes coding for pro-inflammatory mediators predict the clinical response to tnf alpha blocking agents? A review analysis of the literature. PG - 460-3 LID - 10.1016/j.autrev.2011.01.010 [doi] AB - Tumor necrosis factor-alpha (TNF-alpha) has a key role in the pathogenesis of rheumatoid arthritis (RA) and the introduction of anti-TNFalpha biological therapies has dramatically altered the treatment of RA. Anti-TNFalpha agents display good clinical efficacy in patients resistant to traditional disease-modifying antirheumatic drugs and superior efficacy in the suppression of erosive joint damage, even if a significant non-response rate has been reported (30-40%). Because anti-TNFalpha therapy is associated with expensive treatment costs, leading to restrictions in the numbers of patients who may be treated, the identification of predictors of treatment outcome may improve the cost-effectiveness of anti-TNFalpha therapies. Several candidate gene studies have addressed this topic, but they have had limited success in identifying predictors. It is not clear whether the response to anti-TNFalpha treatment will be conferred through a number of genes, each with a small effect size, or whether genes may predict the outcome of the treatment. CI - Copyright (c) 2011. Published by Elsevier B.V. FAU - Ingegnoli, Francesca AU - Ingegnoli F AD - Division of Rheumatology, Istituto Gaetano Pini, University of Milan, Italy. FAU - Favalli, Ennio Giulio AU - Favalli EG FAU - Meroni, Pier Luigi AU - Meroni PL LA - eng PT - Journal Article PT - Review DEP - 20110204 PL - Netherlands TA - Autoimmun Rev JT - Autoimmunity reviews JID - 101128967 RN - 0 (Antirheumatic Agents) RN - 0 (Biomarkers, Pharmacological) RN - 0 (Inflammation Mediators) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Antirheumatic Agents/pharmacology/*therapeutic use MH - Arthritis, Rheumatoid/*diagnosis/drug therapy/*genetics MH - Biomarkers, Pharmacological/*metabolism MH - Clinical Trials as Topic MH - Genetic Association Studies MH - Humans MH - Inflammation Mediators/*metabolism MH - Pharmacogenetics MH - Polymorphism, Genetic MH - Precision Medicine MH - Prognosis MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors EDAT- 2011/02/08 06:00 MHDA- 2011/10/05 06:00 CRDT- 2011/02/08 06:00 PHST- 2011/01/12 00:00 [received] PHST- 2011/01/29 00:00 [accepted] PHST- 2011/02/08 06:00 [entrez] PHST- 2011/02/08 06:00 [pubmed] PHST- 2011/10/05 06:00 [medline] AID - S1568-9972(11)00025-5 [pii] AID - 10.1016/j.autrev.2011.01.010 [doi] PST - ppublish SO - Autoimmun Rev. 2011 Jun;10(8):460-3. doi: 10.1016/j.autrev.2011.01.010. Epub 2011 Feb 4.