Rheumatoid Arthritis Flashcards
Methotrexate - csDMARD
Analog of folic acid
Increase adenosine levels
Anti-proliferative effects on T cells & inhibition of macrophage functions
Decrease in pro inflammatory cytokines
Tofacitinib - tsDMARD
Janus Kinase (JAK) pathway inhibitor
Blocks cytokine production
(don’t combine w bDMARD
Side effect: immunosuppression
Infliximab - bDMARD
TNF signalling blockers
Anakinra - bDMARD
IL-1 signalling blocker protein
Tocilizumab -bDMARD
Humanised IL-6 signalling blocker protein
Hydroxychloroquine
Anti-malarial agents
Effective anti inflammatory agents in RA
Reduced MHC 2 expression & antigen presentation
What are bDMARDs for?
For patients who do not respond well with sDMARD therapies (fake but imitated)