» Articles » PMID: 34804171

Granulocyte and Monocyte/macrophage Apheresis for the Treatment of Immune-mediated Inflammatory Arthropathies: Case Reports

Overview
Journal Drugs Context
Specialty Pharmacology
Date 2021 Nov 22
PMID 34804171
Citations 1
Authors
Affiliations
Soon will be listed here.
Abstract

Drug therapy of immune-mediated inflammatory arthropathies is not always satisfactory, and there is a risk of adverse events. Granulocyte and monocyte/macrophage apheresis (GMA) is a non-pharmacological therapeutic option that is beneficial and very well tolerated. GMA involves passing blood through a column with cellulose acetate beads to remove increased and activated myeloid lineage cells and improve the cytokine profile. The technique reduces pain and inflammation. We present four clinical reports that illustrate the clinical uses of GMA with the medical device Adacolumn in patients with different backgrounds and immune-mediated inflammatory arthritis. The results were positive, and no adverse events were reported.

Citing Articles

The Role of Neutrophils in Spondyloarthritis: A Journey across the Spectrum of Disease Manifestations.

Coletto L, Rizzo C, Guggino G, Caporali R, Alivernini S, DAgostino M Int J Mol Sci. 2023; 24(4).

PMID: 36835520 PMC: 9959122. DOI: 10.3390/ijms24044108.

References
1.
Yokoyama Y, Kamikozuru K, Watanabe K, Nakamura S . Inflammatory bowel disease patients experiencing a loss of response to infliximab regain long-term response after undergoing granulocyte/monocyte apheresis: A case series. Cytokine. 2018; 103:25-28. DOI: 10.1016/j.cyto.2017.12.030. View

2.
Yokoyama Y, Sawada K, Aoyama N, Yoshimura N, Sako M, Hirai F . Efficacy of Granulocyte and Monocyte Adsorptive Apheresis in Patients With Inflammatory Bowel Disease Showing Lost Response to Infliximab. J Crohns Colitis. 2020; 14(9):1264-1273. DOI: 10.1093/ecco-jcc/jjaa051. View

3.
Frisell T, Dehlin M, Di Giuseppe D, Feltelius N, Turesson C, Askling J . Comparative effectiveness of abatacept, rituximab, tocilizumab and TNFi biologics in RA: results from the nationwide Swedish register. Rheumatology (Oxford). 2019; . DOI: 10.1093/rheumatology/key433. View

4.
Fujimori J, Yoshino S, Koiwa M, Hirai H, Shiga H, Hayama N . Improvement in rheumatoid arthritis following application of an extracorporeal granulotrap column, G-1. Rheumatol Int. 1996; 15(5):175-80. DOI: 10.1007/BF00290518. View

5.
Simard J, Arkema E, Sundstrom A, Geborek P, Saxne T, Baecklund E . Ten years with biologics: to whom do data on effectiveness and safety apply?. Rheumatology (Oxford). 2010; 50(1):204-13. DOI: 10.1093/rheumatology/keq326. View