Disease Activity Score (DAS28) and Health Assessment Questionnaire (HAQ) were performed at baseline evaluation and after 12 months. The baseline MMP-3 levels were significantly higher in the high-progression group compared with the low-progression one (95.75 ± 42.84 vs. 50.45 ± 12.83, P < 0.001). There was a positive correlation between baseline levels of MMP-3 and MRI erosion score selleck kinase inhibitor and other baseline clinical parameters, except for

HAQ and the van der Heijde modification of the Sharp scoring system (SvdH) scores, while after 12 months, there were high positive correlations between MMP-3 and SvdH score, as well as all parameters except for ESR. Serum baseline levels of MMP-3 are strong prognostic markers of disease activity, and act well as an early predictor of progressive joint damage in recent-onset RA disease. “
“Rheumatoid

arthritis (RA) can be the source of significant pain and functional limitation. The past 20 years have seen a transition in treatment goals away from mere pain management toward disease modification through the suppression of autoimmunity. Disease-modifying anti-rheumatic drugs, such as methotrexate and biologic agents, impair disease progression and joint destruction. However, despite these achievements, a substantial subset of RA patients does not respond to or cannot tolerate current treatments buy Epacadostat for RA. Scientific insight into the cellular pathways of inflammation has revealed new therapeutic targets for the treatment of autoimmune diseases like RA. Attention has focused on pathways mediated by Janus kinase (JAK), mitogen-activated protein kinase (MAPK), and spleen tyrosine kinase (Syk). This review article summarizes the evidence supporting the use of various kinase inhibitors, including the newly approved JAK inhibitor tofacitinib, tuclazepam in the treatment of RA. Rheumatoid arthritis (RA) is a

chronic and progressive autoimmune disease primarily causing inflammation of the synovial tissues of the joints and tendons. RA affects 0.5–1.0% of the population worldwide.[1] Women are twice as likely to be afflicted with RA as men, with a median age of onset of 40–70 years.[2] RA commonly manifests as symmetric joint pain and swelling stemming from synovial inflammation and destruction of underlying cartilage and bone.[3] Untreated, RA can lead to irreversible joint damage and significantly impaired function. In addition to joint-related morbidity, patients with RA are at increased risk for gastrointestinal, respiratory, cardiovascular, infectious and hematologic diseases.[2] Prior to the 1980s, there were few if any highly effective disease-modifying anti-rheumatic drugs (DMARDs) for the treatment of RA.