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001-es BibID:	BIBFORM035128
035-os BibID:	(cikkazonosító)957151
Első szerző:	Nakken, Britt
Cím:	Immune-regulatory mechanisms in systemic autoimmune and rheumatic diseases / Britt Nakken, Philip Alex, Ludvig Munthe, Zoltan Szekanecz, Peter Szodoray
Dátum:	2012
Megjegyzések:	Systemic autoimmune and rheumatic diseases (SAIRDs) are thought to develop due to the failure of autoimmune regulation and tolerance. Current therapies, such as biologics, have improved the clinical results of SAIRDs; however, they are not curative treatments. Recently, new discoveries have been made in immune tolerance and inflammation, such as tolerogenic dendritic cells, regulatory T and B cells, Th 17 cells, inflammatory and tolerogenic cytokines, and intracellular signaling pathways. They lay the foundation for the next generation of the therapies beyond the currently used biologic therapies. New drugs should target the core processes involved in disease mechanisms with the aim to attain complete cure combined with safety and low costs compared to the biologic agents. Re-establishment of autoimmune regulation and tolerance in SAIRDs by the end of the current decade should be the final and realistic target.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Clinical and Developmental Immunology. - 2012 (2012), p. 1-2. -
További szerzők:	Philip, Alex Munthe, Ludvig A. Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus) Szodoray Péter (1973-) (belgyógyász, orvos)
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM033045
Első szerző:	Nakken, Britt
Cím:	B-cells and their targeting in rheumatoid arthritis : current concepts and future perspectives / Nakken B., Munthe L. A., Konttinen Y. T., K. Sandberg A., Szekanecz Z., Alex P., Szodoray P.
Dátum:	2011
ISSN:	1568-9972
Megjegyzések:	Rheumatoid arthritis (RA) is a chronic, autoimmune disease that affects primarily the joints and without proper treatment results in their progressive destruction. In addition to T-cells, B-cells play a central role in the pathogenesis of this disease. The synovial tissue is an active site of B-cell accumulation, plasma cell differentiation and in situ antibody-production in RA. As part of the complex role of B-cells in the joints and synovial membrane of RA patients, B cells secrete chemokines and cytokines and may function as antigen presenting cells. The multifaceted pathogenic function of B-cells identifies them as excellent targets for immunosuppressive therapy. B-cell targeting involves a wide spectrum of molecules, for example the B-cell antigen CD20 that allows specific and effective B-cell depletion. Another target, CD79, expressed by B-cell and plasma cell precursors is an obvious candidate that induces apoptosis as well as inhibition of B-cell receptor (BCR) activation and possibly depletion of ectopic germinal centers (GC). Inhibition of B-cell co-stimulatory molecules such as CD40, CD80/86 and ICOS, can lead to diminished B-cell activation. Moreover, anti-chemokine and anti-cytokine therapies can be efficacious in RA by the disruption of B-cell activation and autoantibody production. B-cell synovial migration and ectopic GC formation. Finally, targeting the signal transduction pathways required for proximal BCR signaling has also been found efficacious in early clinical trials in RA. Even so, some B cells inhibit immune responses, these regulatory B cells may play a part in immune regulation in patients and it is unclear what effects B cell depletion strategies have in terms of such B cell subsets. This review discusses current strategies of targeting B-cells as therapeutic candidates in the management of RA. Better insights into the pathogenic role of B-cells provide efficacious opportunities to improve both therapy and prognosis of patients with RA.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Autoimmunity Reviews. - 11 : 1 (2011), p. 28-34. -
További szerzők:	Munthe, Ludvig A. Konttinen, Yrjö T. Klokk Sandberg, Anna Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus) Alex, Philip Szodoray Péter (1973-) (belgyógyász, orvos)
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat DOI
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