Title |
Tumor necrosis factor-alpha inhibitor treatment for sarcoidosis
|
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Published in |
Therapeutics and Clinical Risk Management, December 2008
|
DOI | 10.2147/tcrm.s967 |
Pubmed ID | |
Authors |
José Luis Callejas-Rubio, Lourdes López-Pérez, Norberto Ortego-Centeno |
Abstract |
Sarcoidosis is a chronic multisystem disease of unknown etiology, characterized by noncaseating granulomatous infiltration of virtually any organ system. Treatment is often undertaken in an attempt to resolve symptoms or prevent progression to organ failure. Previous studies have suggested a prominent role for tumor necrosis factor-alpha (TNF-alpha) in the inflammatory process seen in sarcoidosis. TNF-alpha and interleukin-1 are released by alveolar macrophages in patients with active lung disease. Corticosteroids have proved to be efficacious in the treatment of sarcoidosis, possibly by suppressing the production of TNF-alpha and other cytokines. Three agents are currently available as specific TNF antagonists: etanercept, infliximab, and adalimumab. Although data from noncomparative trials suggest that all three have comparable therapeutic effects in rheumatoid arthritis, their effects in a granulomatous disease such as sarcoidosis are less consistent. In this review, current data on the effectiveness are summarized. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 2% |
Unknown | 59 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 7 | 12% |
Student > Doctoral Student | 6 | 10% |
Researcher | 6 | 10% |
Student > Postgraduate | 6 | 10% |
Student > Bachelor | 5 | 8% |
Other | 15 | 25% |
Unknown | 15 | 25% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 28 | 47% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 5% |
Nursing and Health Professions | 3 | 5% |
Agricultural and Biological Sciences | 2 | 3% |
Business, Management and Accounting | 1 | 2% |
Other | 6 | 10% |
Unknown | 17 | 28% |