Review

Nature Clinical Practice Rheumatology (2008) 4, 128-135
doi:10.1038/ncprheum0727  
Received 17 September 2007 | Accepted 7 December 2007 | Published online: 5 February 2008

Reappraising metalloproteinases in rheumatoid arthritis and osteoarthritis: destruction or repair?

Gillian Murphy and Hideaki Nagase*

Correspondence *Department of Matrix Biology, The Kennedy Institute of Rheumatology Division, Faculty of Medicine, Imperial College London, 1 Aspenlea Road, Hammersmith, London W6 8LH, UK

Email
 h.nagase@imperial.ac.uk

Metalloproteinases are thought to be involved in the pathological destruction of joint tissues in rheumatoid arthritis and osteoarthritis; however, matrix metalloproteinase inhibitors failed to effectively treat disease in early clinical trials. It is now clear that more-specific inhibition of these enzymes is required for the success of this therapeutic approach.

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