학술논문

Rheumatoid arthritis: the old issue, the new therapeutic approach.
Document Type
Article
Source
Stem Cell Research & Therapy. 9/23/2023, Vol. 14 Issue 1, p1-13. 13p.
Subject
*RHEUMATOID arthritis
*THERAPEUTICS
*SYNOVITIS
*AUTOIMMUNE diseases
*STROMAL cells
Language
ISSN
1757-6512
Abstract
Rheumatoid arthritis (RA) is a chronic and systemic autoimmune disease of unknown etiology. The most common form of this disease is chronic inflammatory arthritis, which begins with inflammation of the synovial membrane of the affected joints and eventually leads to disability of the affected limb. Despite significant advances in RA pharmaceutical therapies and the availability of a variety of medicines on the market, none of the available medicinal therapies has been able to completely cure the disease. In addition, a significant percentage (30–40%) of patients do not respond appropriately to any of the available medicines. Recently, mesenchymal stromal cells (MSCs) have shown promising results in controlling inflammatory and autoimmune diseases, including RA. Experimental studies and clinical trials have demonstrated the high power of MSCs in modulating the immune system. In this article, we first examine the mechanism of RA disease, the role of cytokines and existing medicinal therapies. We then discuss the immunomodulatory function of MSCs from different perspectives. Our understanding of how MSCs work in suppressing the immune system will lead to better utilization of these cells as a promising tool in the treatment of autoimmune diseases. [ABSTRACT FROM AUTHOR]