Dr Philippe RONDEAUX Chef de Clinique RHUMATOLOGIE ISPPC CHU de CHARLEROI
Alerte Arthrose LeVif/l'Express no. 37 | 15 septembre 2017
Arthrose vs Arthrite
Arthrose vs Arthrite
Arthrose vs Arthrite
Arthrose
Arthrose : Prévalence
Arthrose
Arthrose : évolution
Arthrose : Prise en Charge
Arthrose : Prise en Charge
Sport et Arthrose
La Polyarthrite Rhumatoïde
La Polyarthrite Rhumatoïde
La Spondylarthrite ankylosante
La Spondylarthrite ankylosante
Physiopathologie de la Spondylarthrite ankylosante
Polyarthrite Psoriasique
Role du TNFalpha dans l’Inflamation
Inhibition des cytokines Interaction normale Neutralisation des cytokines Cytokines inflammatoires Anticorps monoclonal Récepteur de cytokine Récepteur soluble Signaux inflammatoires Pas de signal Bloquage du récepteur Anticorps monoclonal Inhibition of Cytokines Cytokines exert their damaging effects by binding to specific receptors, and there are several potential approaches that can be employed to block these effects. Cytokines can be neutralized through the use of antibodies or soluble receptors. With this approach, the cytokine never reaches the receptor on the cell of interest. This avenue for the treatment of RA has been taken with soluble TNF- receptor fusion proteins, soluble IL receptors, monoclonal antibodies against TNF-, and monoclonal antibodies against IL-6. Receptor antagonists or antibodies can bind to cytokine receptors on cells and prevent cytokines from binding. This blocks their actions on the cell in question. This approach to the treatment of RA has been taken with recombinant IL-1Ra and an antibody against the IL-6 receptor. Administration of anti-inflammatory cytokines can inhibit expression of inflammatory cytokines. This approach has been taken with IL-4 and IL-10. Choy EHS, Panayi GS. Cytokine pathways and joint inflammation in rheumatoid arthritis. N Engl J Med. 2001;344:907-916. Antagoniste du récepteur Pas de signal Adapté avec la permission de Choy EHS, Panayi GS. N Engl J Med 2001;344:907-916. Copyright © 2001 Massachusetts Medical Society. All rights reserved.
Maladies concernées par le TNFα Polyarthrites Spondylarthrites Rhumatisme Psoriasiques
Ostéoporose
Ostéoporose fracturaire
Ostéoporose vs Arthrose
Ostéoporose : diagnostique
Physiopathologie de l’Ostéoporose
Ostéoporose : traitements
La Fibromyalgie
La Fibromyalgie