Literature DB >> 14618373

Lack of evidence for inhibition of angiogenesis as a central mechanism of the antiarthritic effect of methotrexate.

Christoph Fiehn1, Andreas Wunder, Stefan Krienke, Regina Max, Anthony D Ho, Thomas Moehler.   

Abstract

OBJECTIVES: The aim of this study was to investigate whether methotrexate (MTX) has an antiangiogenic effect and whether this property plays a role in the control of rheumatoid arthritis (RA).
METHODS: A human placenta angiogenesis assay was used to examine the antiangiogenic effects of MTX in vitro. In addition, DBA/1 mice were used to compare the antiarthritic effect of MTX in collagen-induced arthritis (CIA) and its antiangiogenic effect in a murine in vivo matrigel model for angiogenesis.
RESULTS: The spreading of microvessels from placental vessel fragments was not significantly inhibited by MTX. Treatment with MTX reduced significantly the incidence of CIA in DBA/1 mice in a dose-dependent manner. However, treatment with the same doses of MTX did not significantly reduce vessel growth in subcutaneous depots of bFGF-enriched matrigel.
CONCLUSION: These data support the hypothesis that inhibition of angiogenesis does not significantly contribute to the antiarthritic effect of MTX seen in patients and animal models for RA. Therefore, the combination of MTX with antiangiogenic drugs appears to be a rational strategy in the treatment of RA.

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Year:  2003        PMID: 14618373     DOI: 10.1007/s00296-003-0408-y

Source DB:  PubMed          Journal:  Rheumatol Int        ISSN: 0172-8172            Impact factor:   2.631


  45 in total

1.  A simple, quantitative method for assessing angiogenesis and antiangiogenic agents using reconstituted basement membrane, heparin, and fibroblast growth factor.

Authors:  A Passaniti; R M Taylor; R Pili; Y Guo; P V Long; J A Haney; R R Pauly; D S Grant; G R Martin
Journal:  Lab Invest       Date:  1992-10       Impact factor: 5.662

2.  Vascular endothelial growth factor expression and regulation of murine collagen-induced arthritis.

Authors:  J Lu; T Kasama; K Kobayashi; Y Yoda; F Shiozawa; M Hanyuda; M Negishi; H Ide; M Adachi
Journal:  J Immunol       Date:  2000-06-01       Impact factor: 5.422

3.  Methotrexate metabolism analysis in blood and liver of rheumatoid arthritis patients. Association with hepatic folate deficiency and formation of polyglutamates.

Authors:  J M Kremer; J Galivan; A Streckfuss; B Kamen
Journal:  Arthritis Rheum       Date:  1986-07

4.  Infliximab (chimeric anti-tumour necrosis factor alpha monoclonal antibody) versus placebo in rheumatoid arthritis patients receiving concomitant methotrexate: a randomised phase III trial. ATTRACT Study Group.

Authors:  R Maini; E W St Clair; F Breedveld; D Furst; J Kalden; M Weisman; J Smolen; P Emery; G Harriman; M Feldmann; P Lipsky
Journal:  Lancet       Date:  1999-12-04       Impact factor: 79.321

Review 5.  Molecular and cellular effects of methotrexate.

Authors:  M Seitz
Journal:  Curr Opin Rheumatol       Date:  1999-05       Impact factor: 5.006

6.  Angiogenesis mediated by soluble forms of E-selectin and vascular cell adhesion molecule-1.

Authors:  A E Koch; M M Halloran; C J Haskell; M R Shah; P J Polverini
Journal:  Nature       Date:  1995-08-10       Impact factor: 49.962

7.  Interleukin-8 as a macrophage-derived mediator of angiogenesis.

Authors:  A E Koch; P J Polverini; S L Kunkel; L A Harlow; L A DiPietro; V M Elner; S G Elner; R M Strieter
Journal:  Science       Date:  1992-12-11       Impact factor: 47.728

8.  Interleukin-8 in inflammatory rheumatic diseases: synovial fluid levels, relation to rheumatoid factors, production by mononuclear cells, and effects of gold sodium thiomalate and methotrexate.

Authors:  M Seitz; B Dewald; M Ceska; N Gerber; M Baggiolini
Journal:  Rheumatol Int       Date:  1992       Impact factor: 2.631

9.  Modulation of angiogenic vascular endothelial growth factor by tumor necrosis factor alpha and interleukin-1 in rheumatoid arthritis.

Authors:  E M Paleolog; S Young; A C Stark; R V McCloskey; M Feldmann; R N Maini
Journal:  Arthritis Rheum       Date:  1998-07

Review 10.  Models for studying angiogenesis in vivo.

Authors:  D Ribatti; A Vacca
Journal:  Int J Biol Markers       Date:  1999 Oct-Dec       Impact factor: 3.248

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  3 in total

1.  [Methotrexate in rheumatology].

Authors:  C Fiehn
Journal:  Z Rheumatol       Date:  2009-11       Impact factor: 1.372

Review 2.  [Methotrexate as combination partner of TNF inhibitors and tocilizumab: what is reasonable from an immunological viewpoint?].

Authors:  T Witte
Journal:  Z Rheumatol       Date:  2013-04       Impact factor: 1.372

Review 3.  Methotrexate as combination partner of TNF inhibitors and tocilizumab. What is reasonable from an immunological viewpoint?

Authors:  Torsten Witte
Journal:  Clin Rheumatol       Date:  2015-01-22       Impact factor: 2.980

  3 in total

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