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Erschienen in: Arthritis Research & Therapy 4/2002

01.06.2002 | Review

Molecular action of methotrexate in inflammatory diseases

verfasst von: Edwin SL Chan, Bruce N Cronstein

Erschienen in: Arthritis Research & Therapy | Ausgabe 4/2002

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Abstract

Despite the recent introduction of biological response modifiers and potent new small-molecule antirheumatic drugs, the efficacy of methotrexate is nearly unsurpassed in the treatment of inflammatory arthritis. Although methotrexate was first introduced as an antiproliferative agent that inhibits the synthesis of purines and pyrimidines for the therapy of malignancies, it is now clear that many of the anti-inflammatory effects of methotrexate are mediated by adenosine. This nucleoside, acting at one or more of its receptors, is a potent endogenous anti-inflammatory mediator. In confirmation of this mechanism of action, recent studies in both animals and patients suggest that adenosine-receptor antagonists, among which is caffeine, reverse or prevent the anti-inflammatory effects of methotrexate.
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Metadaten
Titel
Molecular action of methotrexate in inflammatory diseases
verfasst von
Edwin SL Chan
Bruce N Cronstein
Publikationsdatum
01.06.2002
Verlag
BioMed Central
Erschienen in
Arthritis Research & Therapy / Ausgabe 4/2002
Elektronische ISSN: 1478-6362
DOI
https://doi.org/10.1186/ar419

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