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[1] A review of literature shows that the prevalence of PA is higher in Northern Europe, especially in Scandinavian countries, and among people of African descent, and that increased awareness of the disease and better diagnostic tools might play a role in apparently higher rates of incidence
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Wang S, Chen S, Ying Y, Ma X, Shen H, Li J, et al
For example, adalimumab as a TNF inhibitor blocks the bind of TNF and its receptors to reduce cytokines (like MMP-1 and MMP-3)-driven inflammatory processes, which suppresses the destruction of cartilage and bone ( Figure 1 On the other hand, several cytokines, including IL-4, IL-10, IL-13, and TGF-, exert anti-inflammatory effects in RA
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