Muhammad Shaham N, P. Das, Ijasul Haque M, Manish Khanna
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引用次数: 0
摘要
类风湿性关节炎(RA)是一种自身免疫性炎症疾病,病因尚不清楚。虽然类风湿性关节炎的主要特征是炎症,但其他生物系统也与疾病的不同阶段有关。干预措施及其对活跃的 RA 患者基因表达的影响目前在开发特定治疗目标技术方面发挥着重要作用。本研究旨在评估已报道的各种干预措施对类风湿关节炎患者基因表达的影响。我们查询了 2020 年至 2023 年期间的公开英文数据库(PubMed 和 Google Scholar)。我们共检索到 1970 篇研究文献,并根据纳入和排除标准从中筛选出 8 篇文章。综述分析了治疗药物,包括抗肿瘤坏死因子α受体阻滞剂、GM-CSF受体阻滞剂、趋化因子受体阻滞剂和中药生姜在RA治疗中的应用,以及基于基因表达分析预测应答者和非应答者。然而,由于研究中样本、实验方法、分析工具和研究基因的混合使用,我们的比较在确定有效治疗方面并无定论。本研究强调了基因表达谱作为一种临床工具有效用于 RA 患者个性化药物治疗的必要性。
A systematic review on the impact of interventions on gene expression profiles of rheumatoid arthritis patients
Rheumatoid arthritis (RA) is an autoimmune inflammatory disease with a poorly known aetiology. Although the primary characteristic of RA is inflammation, other biological systems are implicated in various phases of the disease. Interventions and their impact on gene expression in active RA patients is currently playing a significant role in the development of specific treat to target techniques. The present study aims toevaluate the effect of various reported interventions on gene expression in rheumatoid arthritis patients. Publicly available English databases, PubMed and Google Scholar, were queried from 2020 to 2023. We mined a total of 1970 research documents, of which 8 articles were selected based on the inclusion and exclusion criteria. The review analyzed therapeutics, including anti-TNF alpha-blockers, GM-CSF blockers, Chemokine receptor blockers and herbal Ginger in RA treatment and prediction of responders and non-responders based on gene expression analysis. However, due to the mixed-use of samples, experimental methodologies, analysis tools and genes studied in the studies, our comparison is inconclusive in determining effective therapy. The study highlights the necessity of harmonization in order for gene expression profiles to be effectively used as a clinical tool in RA patients' personalized medication.