Reflections on 'older' drugs: learning new lessons in rheumatology

Kerrigan, S.A. and McInnes, I.B. (2020) Reflections on 'older' drugs: learning new lessons in rheumatology. Nature Reviews Rheumatology, 16(3), pp. 179-183. (doi: 10.1038/s41584-020-0375-7) (PMID:32066941)

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Abstract

The management of rheumatic and musculoskeletal diseases has transformed over two decades of exciting discoveries regarding pathogenesis and innovative drug development. The introduction of sophisticated immunomodulatory therapies has given renewed hope to many patients, but notable challenges remain within the field of rheumatology. Before the advent of biologic therapies, conventional synthetic DMARDs (csDMARDs) provided effective disease control for some patients, although a comprehensive understanding of the mechanisms by which these drugs exert their effects remained elusive. Reflecting upon the efficacy and mechanisms of action of csDMARDs can provide intriguing insights. First, contemplating past approaches brings our remarkable current approaches concerning pathogenesis-driven discovery and drug development into sharper focus. Second, increased understanding of the mode of action of these older drugs might in turn provide exciting opportunities for the understanding of disease and for the development of future therapies.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McInnes, Professor Iain and Kerrigan, Dr Sean
Authors: Kerrigan, S.A., and McInnes, I.B.
College/School:College of Medical Veterinary and Life Sciences > School of Infection & Immunity
Research Centre:College of Medical Veterinary and Life Sciences > School of Infection & Immunity > Centre for Immunobiology
Journal Name:Nature Reviews Rheumatology
Publisher:Nature Research
ISSN:1759-4790
ISSN (Online):1759-4804
Published Online:17 February 2020

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