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Open AccessJournal ArticleDOI

Janus kinase inhibitors in immunoinflammatory diseases: 10 years of clinical practice in rheumatology

Evgeny Nasonov, +1 more
- 13 May 2022 - 
- Vol. 60, Iss: 2, pp 131-148
TLDR
The current achievements, trends and recommendations regarding the use of JAK inhibitors in the treatment of IMIDs and also in the hyper-response phase of COVID-19 are reviewed.
Abstract
Despite great advances in the diagnosis and treatment of Immune-mediated inflammatory diseases (IMIDs), which have led to a significant improvement in the prognosis in many patients, the central medical problems of this pathology – restoring the quality of life and reducing mortality to the population level – are far from being resolved. This served as a powerful stimulus for the study of new approaches to the pharmacotherapy of IMIDs, one of which is associated with the discovery of targets for small-molecule therapeutics that inhibit intracellular “signaling” molecules JAKs (Janus kinases). The current achievements, trends and recommendations regarding the use of JAK inhibitors in the treatment of IMIDs and also in the hyper-response phase of COVID-19 are reviewed.

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The prospects of interleukin-6 inhibition in rheumatoid arthritis: Olokizumab (novel monoclonal antibodies to IL-6)

TL;DR: In this article , the authors examined new data on efficacy and safety of OKZ in RA and the prospects of its use in rheumatology ǫ using a clinical trial.
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Interleukin 6 Inhibition in Rheumatoid Arthritis: Highlight on Olokizumab

TL;DR: Olokizumab as discussed by the authors , a humanized monoclonal antibody against IL-6, provides a new mode of action by direct inhibition of interleukin (IL) 6.
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Updated American College of Rheumatology/American Association of Hip and Knee Surgeons guideline for the perioperative management of antirheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty 2022

TL;DR: In this article , the authors present updated guidelines developed by the American College of Rheumatology and the American Association of Hip and Knee Surgeons on the perioperative treatment of patients with rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, juvenile idiopathic arthritis and systemic lupus erythematosus undergoing elective total hip or total knee arthroplasty.

АЦЦП-негативный ревматоидный артрит — клинические и иммунологические особенности

TL;DR: In this paper , early diagnosis, regular monitoring of the disease activity and the "treat to target" strategy are recommended for both positive and negative ACCP RA, however, the effectiveness of individual drugs in these subtypes may vary significantly.
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Molecular mechanisms of the development of the phenomena of peripheral and central sensitization in rheumatoid arthritis

TL;DR: In this paper , the authors considered the molecular biological aspects of the formation of peripheral and central sensitization in RA, with a separate analysis of the pathogenetic role of individual interleukins.
References
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Journal ArticleDOI

Characteristics of SARS-CoV-2 and COVID-19

TL;DR: The basic virology of SARS-CoV-2 is described, including genomic characteristics and receptor use, highlighting its key difference from previously known coronaviruses.
Journal ArticleDOI

Cytokine Storm.

TL;DR: From the Department of Medicine, Division of Translational Medicine and Human Genetics, Center for Cytokine Storm Treatment and Laboratory, and the Center for Cellular Immunotherapies and the Parker Institute for Cancer Immunotherapy, University of Pennsylvania, Philadelphia.
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Baricitinib plus Remdesivir for Hospitalized Adults with Covid-19.

Andre C. Kalil, +59 more
TL;DR: Baricitinib plus remdesivir was superior to remdes Vivir alone in reducing recovery time and accelerating improvement in clinical status among patients with Covid-19, notably among those receiving high-flow oxygen or noninvasive ventilation.
Journal ArticleDOI

Baricitinib as potential treatment for 2019-nCoV acute respiratory disease.

TL;DR: It is suggested that baricitinib could be trialled, using an appropriate patient population with 2019-nCoV acute respiratory disease, to reduce both the viral entry and the inflammation in patients, using endpoints such as the MuLBSTA score, an early warning model for predicting mortality in viral pneumonia.
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