Rheumatoid arthritis (RA) is an inflammatory joint disease in which perpetuation of synovitis leads to bone and cartilage destruction. As a result of the synovitis, high levels of proinflammatory cytokines such as interleukin (IL) —1β, tumor necrosis factor(TNF) and IL — 6 as well as rheumatoid factors(RF) of different immunoglobulin(Ig) subtypes are produced, which are thought to play a major role in causing joint destruction.Tripterygium Wilfordii Hook is a Chinese herbal plant possessing antiinflammatory and immuno-suppressive actions. The semipurified preparation of it with a code name T2 , giving encouraging therapeutic results in RA was previously reported. A newer single active ingredient of TWH with a code name of T4 was isolated. By animal experiments, T4 is at least 100 times as potent as T2.The in vitro effects of T4 on the peripheral blood mononuclear cells of...
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