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- Open Access
Circulating bioactive TNF in rheumatoid arthritis patients treated with infliximab: link to clinical response
Arthritis Res Ther volume 5, Article number: 49 (2003)
Infliximab is an anti-tumor-necrosis-factor (anti-TNF) antibody used for the treatment of rheumatoid arthritis.
To clarify heterogeneity in patient response, a bioassay was established to measure functional circulating tumor necrosis factor (TNF).
Culture of TNF activated synoviocytes with plasma samples before and after infliximab treatment showed an increased production of IL-6 that was strongly reduced by treatment. This pattern was associated with a good clinical response, and bioactive TNF levels detected with this bioassay were correlated with TNF levels measured by ELISA. This was not observed in patients with a poor response. The functional circulating bioactive TNF was significantly (P < 0.001) more elevated in subset with a good biological response than bad responders. No correlation was observed with levels of soluble receptors.
This result suggests the importance of systemic bioactive TNF in such response.
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Marotte, H., Miossec, P. Circulating bioactive TNF in rheumatoid arthritis patients treated with infliximab: link to clinical response. Arthritis Res Ther 5, 49 (2003) doi:10.1186/ar679
- Public Health
- Rheumatoid Arthritis
- Tumor Necrosis
- Tumor Necrosis Factor