Look into the Future

Arthritis

Research Opportunities and Forecast
Mapping and identification of genes linked with disease susceptibility, severity, and responses to therapy in rheumatoid arthritis (RA)

Identification of genes differentially expressed in RA synovium and relationship to disease phenotype

Determination of the precise role of locally expressed cytokines, growth factors, and proteases in the inflammatory and destructive manifestations of RA

Identification of sensitive and specific prognostic markers of disease severity

Development of sensitive measures for assessing disease progression (i.e., destruction) including imaging techniques

Elucidation of molecular mechanisms regulating cartilage and bone growth, differentiation, and maintenance

Characterization of factors regulating growth, differentiation, and programmed cell death of synovial cells in RA

Development of specific inhibitors directed against candidate pathogenetic cytokines and growth factors elaborated in RA synovium; preclinical investigations and, when appropriate, clinical testing of such inhibitors in patients with RA

Development of techniques for selectively delivering and expressing candidate therapeutic genes in synovial cells with high efficiency


Author: William J. Koopman, MD, Department of Medicine, University of Alabama at Birmingham