Table of contents
November 2005 Volume 1 No 1
Editorial
Viewpoints
Early aggressive therapy in rheumatoid arthritis: a 'window of opportunity'?
2There is increasing evidence that treatment in the early stages of rheumatoid arthritis can significantly increase the potential for positive patient outcome and prevention of irreversible damage. This Viewpoint considers the evidence that supports aggressive treatment for early rheumatoid arthritis and investigates the available treatment options.
Is assaying autoantibodies useful for diagnosing early rheumatoid arthritis?
4Diagnosis of early rheumatoid arthritis can be significantly hastened by the screening for serological markers such as autoantibodies. This Viewpoint discusses the merits of this new field of serological screening, focusing on the anti-cyclic citrullinated peptide tests and their value as diagnostic tools for rheumatoid arthritis.
Research Highlights
A link between TLR5 signaling and susceptibility to systemic lupus erythematosus
6Progress in immunotherapy for juvenile idiopathic arthritis
6Comparison of antibody assays for monitoring systemic lupus erythematosus
6Cartilage volume is better than joint-space width for predicting joint replacement in osteoarthritis
7Validation of the preliminary criteria for catastrophic APS
7A new treatment strategy for severe refractory rheumatoid arthritis
8C-reactive protein predicts cardiovascular death in patients with inflammatory polyarthritis
8PDC-derived interferon-
is a master cytokine in psoriasis development
9Interleukin-17 inhibition suppresses flares of arthritis
9Age is the strongest predictor of damage accrual and vascular events in women with systemic lupus erythematosus
10Links between bone mineral density, marrow perfusion and marrow fat content
11Practice Points
Is combination therapy with methotrexate and intramuscular gold an efficacious method of treatment for RA?
12From cancer to rheumatoid arthritis: is FACIT a reliable scale for measuring fatigue?
14Nonsteroidal anti-inflammatory drugs: disease modifiers in ankylosing spondylitis?
18Reviews
Optimum therapeutic approaches for lupus nephritis: what therapy and for whom?
22Renal involvement is common and is a major cause of morbidity in patients with systemic lupus erythematosus. Treatment approaches for lupus nephritis are discussed in this review, based, when available, on data from randomized controlled trials. The authors conclude with their recommendations for the optimum management of this complex and heterogeneous disease.
doi:10.1038/ncprheum0016 | Full Text | PDF (154K)
Cytokine networks—towards new therapies for rheumatoid arthritis
31Cytokine targeting is an established approach for treating patients with rheumatoid arthritis following success with tumor-necrosis-factor and interleukin-1 blockade. Many patients fail to respond completely to these cytokine antagonists, however, meaning that novel cytokine targets are keenly sought. This review describes the new generation of anticytokine therapies that are in preclinical and clinical development.
doi:10.1038/ncprheum0020 | Full Text | PDF (316K)
Diagnosis of antiphospholipid syndrome
40Antiphospholipid syndrome, a disorder characterized by pregnancy morbidity and thrombosis in young individuals, is diagnosed by detection of anticardiolipin antibodies or lupus anticoagulant using laboratory tests. As discussed in this review, correct identification of patients with this syndrome is important as prophylactic anticoagulant therapy can prevent recurrent thrombosis and reduce complications during pregnancy.
doi:10.1038/ncprheum0017 | Full Text | PDF (144K)
Mechanisms of Disease: the link between RANKL and arthritic bone disease
47The link between chronic inflammation and bone loss has been the subject of intense research over the past decade. This has led to the identification of key molecules that bridge the gap between immune function and bone turnover, including receptor activator of NF
B ligand, which represents a potential therapeutic target for patients with chronic inflammatory arthritis, and is the subject of this review.
doi:10.1038/ncprheum0036 | Full Text | PDF (505K)
Case Study

Coronary artery disease in patients with systemic lupus erythematosus
55doi:10.1038/ncprheum0037 | Full Text | PDF (131K)


