PMID- 27698552 OWN - NLM STAT- MEDLINE DCOM- 20170517 LR - 20220409 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 10 DP - 2016 TI - Profile of adalimumab and its potential in the treatment of uveitis. PG - 2997-3003 AB - Uveitis refers to the presence of intraocular inflammation, and as a strict definition compromises the iris and ciliary body anteriorly and the choroid posteriorly (the uvea). Untreated, uveitis can lead to visual loss or blindness. The etiology of uveitis can include both infectious and noninfectious (usually immune-mediated) causes, the latter of which are often mediated predominantly by Th1 CD4(+) T-cells that secrete proinflammatory cytokines. Tumor necrosis factor-alpha (TNF-alpha) is a proinflammatory cytokine involved in the pathogenesis of uveitis, which at high concentrations can cause excess inflammation and tissue damage. Adalimumab is a recombinant human IgG1 monoclonal antibody specific for human TNF-alpha. Historically, corticosteroids and methotrexate were used to treat uveitis; however, newer biologic agents such as adalimumab have revolutionized therapy for noninfectious uveitis. Adalimumab has shown efficacy in treating refractory uveitis in multiple settings, including idiopathic disease, juvenile idiopathic arthritis, sarcoidosis, Behcets disease, and uveitis secondary to spondyloarthropathies, among several other noninfectious uveitis conditions. In this paper, we will review the profile of adalimumab, the role of TNF-alpha in uveitis, discuss safety data, and summarize key articles evaluating the efficacy of adalimumab in treating uveitis secondary to the most commonly associated autoimmune diseases. FAU - Balevic, Stephen J AU - Balevic SJ AD - Department of Pediatric Rheumatology, Duke University Medical Center, Durham, NC, USA. FAU - Rabinovich, C Egla AU - Rabinovich CE AD - Department of Pediatric Rheumatology, Duke University Medical Center, Durham, NC, USA. LA - eng GR - T32 GM086330/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Review DEP - 20160919 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Immunoglobulin G) RN - 0 (Tumor Necrosis Factor-alpha) RN - FYS6T7F842 (Adalimumab) RN - YL5FZ2Y5U1 (Methotrexate) SB - IM MH - Adalimumab/*pharmacology/*therapeutic use MH - Antibodies, Monoclonal, Humanized/*therapeutic use MH - Arthritis, Juvenile/*complications/*drug therapy MH - Humans MH - Immunoglobulin G/*therapeutic use MH - Methotrexate/chemistry/*pharmacology MH - Sarcoidosis/*drug therapy MH - Tumor Necrosis Factor-alpha/chemistry/*immunology/metabolism MH - Uveitis/*drug therapy PMC - PMC5034916 OTO - NOTNLM OT - TNF-alpha OT - adalimumab OT - autoimmune disease OT - uveitis EDAT- 2016/10/05 06:00 MHDA- 2017/05/18 06:00 PMCR- 2016/09/19 CRDT- 2016/10/05 06:00 PHST- 2016/10/05 06:00 [entrez] PHST- 2016/10/05 06:00 [pubmed] PHST- 2017/05/18 06:00 [medline] PHST- 2016/09/19 00:00 [pmc-release] AID - dddt-10-2997 [pii] AID - 10.2147/DDDT.S94188 [doi] PST - epublish SO - Drug Des Devel Ther. 2016 Sep 19;10:2997-3003. doi: 10.2147/DDDT.S94188. eCollection 2016.