
DOI . ORG {
}
Title[redir]:
Prevention of Rheumatoid Arthritis in At-Risk Individuals: Current Status and Future Prospects | Drugs
Description:
Early intervention has been the cornerstone of improving outcomes in patients with rheumatoid arthritis. Over the past decade, the boundaries have been pushed in an attempt to achieve effective prevention strategies in those who are at high risk of developing rheumatoid arthritis. Core risk factors including the presence of serum anti-citrullinated protein antibodies, arthralgia and subclinical inflammation on imaging are highly predictive of arthritis development. The influence of air pollution, diet and the role of microbiome on disease progression are less clear. In turn, therapeutic focus has shifted to an earlier pre-arthritis phase of the disease continuum where the clinically apparent arthritis may potentially be intercepted. Seven proof-of-concept interventional trials in at-risk individuals have been conducted so far. Whether true prevention of rheumatoid arthritis is possible remains elusive. Promising signals towards permanent disease modulation and improvement in symptom burden were seen with some immunomodulatory therapies, whilst others were unsuccessful. Long-term follow-up is required to ascertain a true effect. Looking forward, a better understanding of the natural history and underlying biological mechanisms of arthritis development and more accurate, validated risk stratification is needed.
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Keywords {๐}
arthritis, pubmed, article, google, scholar, rheumatoid, cas, risk, rheum, central, ann, dis, van, individuals, patients, development, rheumatol, httpsdoiorgs, study, httpsdoiorgannrheumdis, arthralgia, mankia, disease, httpsdoiorgart, trial, httpsdoiorgard, rheumatism, early, factors, palindromic, prevention, treatment, open, res, atrisk, developing, antibodies, progression, systematic, review, clinical, content, data, high, protein, inflammation, rmd, httpsdoiorgrmdopen, lancet, doubleblind,
Topics {โ๏ธ}
month download article/chapter van der veer-meerkerk population-based case-control study anti-carbamylated protein antibodies van steenbergen hw anti-ccp positive individuals anti-ccp-positive individuals van dijk bt smolen js b-cell directed therapy sugar-sweetened soda consumption long-term dietary quality t-cell costimulation modulation earlier pre-arthritis phase murine collagen-induced arthritis pre-rheumatoid arthritis condition anti-ccp-positive gillet-van dongen article drugs aims article toyoda full article pdf cyclic citrullinated peptide mri-detected subclinical inflammation dose-response meta-analysis citrullinated protein antigens citrullinated-protein-antigens international task force recent-onset rheumatoid arthritis de jong ba kulveer mankia connective tissue diseases van baarsen lg privacy choices/manage cookies anticitrullinated peptide antibodies trigger hla-dr musculoskeletal medicine deane kd gomez-puerta ja offered preventive treatment lancet healthy longev permanent disease modulation bos wh tight control strategy grant supportโgilead systematic literature search van boheemen factors predicting response accepted manuscript version rheumatology/european league prospective cohort study
Questions {โ}
- Does periodontal treatment improve rheumatoid arthritis disease activity?
- How should we treat palindromic rheumatism?
- Is air pollution a risk factor for rheumatoid arthritis?
- Is palindromic rheumatism a pre-rheumatoid arthritis condition?
- Rheumatoid arthritis prevention in arthralgia: fantasy or reality?
- What is the evidence for the presence of a therapeutic window of opportunity in rheumatoid arthritis?
- When and how should we use imaging in individuals at risk of rheumatoid arthritis?
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description:Early intervention has been the cornerstone of improving outcomes in patients with rheumatoid arthritis. Over the past decade, the boundaries have been pushed in an attempt to achieve effective prevention strategies in those who are at high risk of developing rheumatoid arthritis. Core risk factors including the presence of serum anti-citrullinated protein antibodies, arthralgia and subclinical inflammation on imaging are highly predictive of arthritis development. The influence of air pollution, diet and the role of microbiome on disease progression are less clear. In turn, therapeutic focus has shifted to an earlier pre-arthritis phase of the disease continuum where the clinically apparent arthritis may potentially be intercepted. Seven proof-of-concept interventional trials in at-risk individuals have been conducted so far. Whether true prevention of rheumatoid arthritis is possible remains elusive. Promising signals towards permanent disease modulation and improvement in symptom burden were seen with some immunomodulatory therapies, whilst others were unsuccessful. Long-term follow-up is required to ascertain a true effect. Looking forward, a better understanding of the natural history and underlying biological mechanisms of arthritis development and more accurate, validated risk stratification is needed.
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