Clinical and Pathological Features of Immune-Mediated Inflammatory Diseases and Approved Treatments Flashcards
Genetic characteristics RA
• MHC class II (DR4)
• PTPN22, CTLA4
Conventional anchor drug
RA
MTX
Genetic characteristics CD
• MHC class II (DRB1)
• Interleukin-23R, NOD2
Conventional anchor drug
CD
AZT
Conventional anchor drug
UC
Cyclosporin
Genetic characteristics UC
• MHC class II (DRB1)
• Interleukin-23R, interleukin-10R
Genetic characteristics Axial spondylarthritis
• MHC class I (B27)
• Interleukin-23R, ERAP1
Conventional anchor drug
Axial spondylarthritis
Sulfasalazin
Genetic characteristics psoriatic arthritis
• MHC class I (C06)
• Interleukin-23R, A20
Conventional anchor drug
psoriatic arthritis
MTX
Drivers RA
Autoimmunity
Drivers CD
Microbial dysbiosis and barrier dysfunction
Drivers UC
Microbial dysbiosis and barrier dysfunction
Drivers axial spondylarthritis
Mechanical stress
Drivers psoriatic arthritis
Mechanical stress and metabolism
Key pathological process RA
Synovitis
Key pathological process
CD
Granuloma formation
Key pathological process UC
Cryptitis and goblet-cell loss
Key pathological process
Axial spondylarthritis
Axial enthesitis
Key pathological process
Psoriatic arthritis
Enthesitis and synovitis
Key associated disease RA
Interstitial lung disease
Key associated disease CD
Erythema nodosum
Key associated disease UC
PSC
Key associated disease Axial Spondyloarthritis
Anterior uveitis
Key associated disease Psoriatic arthritis
Psoriasis
NSAID responsiveness RA
Absent
Glucocorticoid responsiveness RA
High
NSAID responsiveness CD
Absent
Glucocorticoid responsiveness CD
high
NSAID responsiveness UC
Absent
Glucocorticoid responsiveness UC
high
NSAID responsiveness Axial spondylarthritis
High
Glucocorticoid responsiveness Axial spondylarthritis
Absent
NSAID responsiveness psoriatic arthritis
Moderate
Glucocorticoid responsiveness psoriatic arthritis
Moderate
Cellular immune response RA
B cells, Tph or Tfh cells, macrophages, fibroblasts
Cellular immune response CD
Th1/Th17 cells, dendritic cells, macrophages
Cellular immune response UC
Th2/Th9/Th17 cells, neutrophils
Cellular immune response axial spondylarthritis
Th17 cells, T γ/δ cells, ILC3, neutrophils
Cellular immune response
psoriatic arthritis
Th17 cells, T γ/δ cells, ILC3, neutrophils, fibroblasts
Approved TNF-α inhibitors RA
Adalimumab, certolizumab, etanercept, golimumab, infliximab
Approved TNF-α inhibitors CD
Adalimumab, certolizumab (U.S.), infliximab
Approved TNF-α inhibitors UC
Adalimumab, certolizumab (U.S.), golimumab, infliximab
Approved TNF-α inhibitors Axial spondylarthritis
Adalimumab, certolizumab, etanercept, golimumab, infliximab
Approved TNF-α inhibitors psoriatic arthritis
Adalimumab, certolizumab, etanercept, golimumab, infliximab
Approved cytokine signature drugs (targets) RA
Tocilizumab (IL-6R), sarilumab (IL-6R)
Approved cytokine signature drugs (targets) CD
Ustekinumab (IL-12/23)
Approved cytokine signature drugs (targets) UC
Ustekinumab (IL-12/23)
Approved cytokine signature drugs (targets) Axial spondylathtitis
Secukinumab (IL-17A), ixekizumab (IL-17A)
Approved cytokine signature drugs (targets) psoriatic arthritis
Secukinumab (interleukin-17A),
ixekizumab (IL-17A),
ustekinumab (IL-12/23),
guselkumab (p19, IL-23)
Other approved targeted therapies RA
Abatacept, rituximab
Other approved targeted therapies CD
Vedolizumab
Other approved targeted therapies UC
Vedolizumab
Other approved targeted therapies axial spondylathritis
None
Other approved targeted therapies psoriatic arthritis
Apremilast, abatacept
Approved JAK inhibitors RA
Tofacitinib, baricitinib, upadacitinib, filgotinib (E.U.)
Approved JAK inhibitors CD
None
Approved JAK inhibitors UC
Tofacitinib
Approved JAK inhibitors axial spondylarthritis
Upadacitinib (E.U.)
Approved JAK inhibitors psoriatic arthritis
Tofacitinib, upadacitinib (E.U.)