Can rheumatoid arthritis responsiveness to methotrexate and biologics be predicted?

Bansard, Carine; Lequerré, Thierry; Daveau, Maryvonne; Boyer, Olivier; Tron, Francois; Salier, Jean-Philippe; Vittecoq, Olivier; Le-Loët, Xavier · Rheumatology (Oxford) · 2009

review · Level V

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Abstract

This review briefly recapitulates the existing markers predictive of RA responsiveness to treatment, focusing on MTX alone or combined with a biologic. In addition to the demographic and clinical factors, an update is provided of the predictive biomarkers identified by large-scale gene and protein analyses that generated new insights into the ability of high-throughput analysis of biological systems to select new potential indicators. Among the large-scale analysis tools now available, pharmacogenetics and pharmacogenomics (including transcriptomic and proteomic approaches) have been shown to provide such new putative biomarkers of therapeutic responses.

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