Profile of ustekinumab and its potential in the treatment of active psoriatic arthritis

Monica Montepaone,1 Ennio Lubrano,2 Alessia Carboni,1 Antonio Spadaro1 1Unità Operativa Complessa di Reumatologia, Dipartimento di Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, 2Academic Rheumatology Unit, Department of Medicine and Healt...

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Autores principales: Montepaone M, Lubrano E, Carboni A, Spadaro A
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Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:1b8b03d81b5f4cfdb5d8f76afd8a797f2021-12-02T01:57:04ZProfile of ustekinumab and its potential in the treatment of active psoriatic arthritis1179-156Xhttps://doaj.org/article/1b8b03d81b5f4cfdb5d8f76afd8a797f2014-02-01T00:00:00Zhttp://www.dovepress.com/profile-of-ustekinumab-and-its-potential-in-the-treatment-of-active-ps-a15882https://doaj.org/toc/1179-156X Monica Montepaone,1 Ennio Lubrano,2 Alessia Carboni,1 Antonio Spadaro1 1Unità Operativa Complessa di Reumatologia, Dipartimento di Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, 2Academic Rheumatology Unit, Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy Abstract: Psoriatic arthritis (PsA) is a chronic inflammatory arthritis and considered to be a less severe condition than rheumatoid arthritis. PsA patients have been treated for a long time with a number of different agents, from non-steroidal anti-inflammatory drugs to one or more disease-modifying antirheumatic drugs. In the last decade, recognition of the central role of tumor necrosis factor-alpha (TNFα) in the immunopathogenesis of many rheumatic diseases, including PsA, has led to the development of TNFα blockers. In PsA, these agents are uniquely efficacious in the treatment of different patterns of the disease, as well as slowing progression of erosive damage in the peripheral joints. However, a significant number of patients withdraw from therapy because of failure or poor tolerability. Among the novel therapeutic targets, interleukin (IL)-23/IL-12 has been investigated for the treatment of chronic inflammatory disease. In particular, ustekinumab is a human monoclonal antibody that prevents human IL-12 and IL-23 from binding to the IL-12Rβ1 receptor chain of IL-12 (IL-12Rβ1/β2) and IL-23 (IL-12Rβ1/23R) receptor complexes on the surface of natural killer cells and T-cells. Ustekinumab has been approved only for treatment of chronic plaque psoriasis, but also represents an interesting agent for treatment of PsA. Keywords: ustekinumab, psoriatic arthritis, psoriasis, interleukin-12, interleukin-23Montepaone MLubrano ECarboni ASpadaro ADove Medical PressarticleDiseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol 2014, Iss default, Pp 7-13 (2014)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the musculoskeletal system
RC925-935
spellingShingle Diseases of the musculoskeletal system
RC925-935
Montepaone M
Lubrano E
Carboni A
Spadaro A
Profile of ustekinumab and its potential in the treatment of active psoriatic arthritis
description Monica Montepaone,1 Ennio Lubrano,2 Alessia Carboni,1 Antonio Spadaro1 1Unità Operativa Complessa di Reumatologia, Dipartimento di Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, 2Academic Rheumatology Unit, Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy Abstract: Psoriatic arthritis (PsA) is a chronic inflammatory arthritis and considered to be a less severe condition than rheumatoid arthritis. PsA patients have been treated for a long time with a number of different agents, from non-steroidal anti-inflammatory drugs to one or more disease-modifying antirheumatic drugs. In the last decade, recognition of the central role of tumor necrosis factor-alpha (TNFα) in the immunopathogenesis of many rheumatic diseases, including PsA, has led to the development of TNFα blockers. In PsA, these agents are uniquely efficacious in the treatment of different patterns of the disease, as well as slowing progression of erosive damage in the peripheral joints. However, a significant number of patients withdraw from therapy because of failure or poor tolerability. Among the novel therapeutic targets, interleukin (IL)-23/IL-12 has been investigated for the treatment of chronic inflammatory disease. In particular, ustekinumab is a human monoclonal antibody that prevents human IL-12 and IL-23 from binding to the IL-12Rβ1 receptor chain of IL-12 (IL-12Rβ1/β2) and IL-23 (IL-12Rβ1/23R) receptor complexes on the surface of natural killer cells and T-cells. Ustekinumab has been approved only for treatment of chronic plaque psoriasis, but also represents an interesting agent for treatment of PsA. Keywords: ustekinumab, psoriatic arthritis, psoriasis, interleukin-12, interleukin-23
format article
author Montepaone M
Lubrano E
Carboni A
Spadaro A
author_facet Montepaone M
Lubrano E
Carboni A
Spadaro A
author_sort Montepaone M
title Profile of ustekinumab and its potential in the treatment of active psoriatic arthritis
title_short Profile of ustekinumab and its potential in the treatment of active psoriatic arthritis
title_full Profile of ustekinumab and its potential in the treatment of active psoriatic arthritis
title_fullStr Profile of ustekinumab and its potential in the treatment of active psoriatic arthritis
title_full_unstemmed Profile of ustekinumab and its potential in the treatment of active psoriatic arthritis
title_sort profile of ustekinumab and its potential in the treatment of active psoriatic arthritis
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/1b8b03d81b5f4cfdb5d8f76afd8a797f
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AT carbonia profileofustekinumabanditspotentialinthetreatmentofactivepsoriaticarthritis
AT spadaroa profileofustekinumabanditspotentialinthetreatmentofactivepsoriaticarthritis
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