Molecular and Cellular Pathways Contributing to Joint Damage in Rheumatoid Arthritis
Rheumatoid arthritis is a chronic autoimmune syndrome associated with several genetic, epigenetic, and environmental factors affecting the articular joints contributing to cartilage and bone damage. Although etiology of this disease is not clear, several immune pathways, involving immune (T cells, B...
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Wiley
2020-01-01
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Series: | Mediators of Inflammation |
Online Access: | http://dx.doi.org/10.1155/2020/3830212 |
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author | Qinghua Fang Chun Zhou Kutty Selva Nandakumar |
author_facet | Qinghua Fang Chun Zhou Kutty Selva Nandakumar |
author_sort | Qinghua Fang |
collection | DOAJ |
description | Rheumatoid arthritis is a chronic autoimmune syndrome associated with several genetic, epigenetic, and environmental factors affecting the articular joints contributing to cartilage and bone damage. Although etiology of this disease is not clear, several immune pathways, involving immune (T cells, B cells, dendritic cells, macrophages, and neutrophils) and nonimmune (fibroblasts and chondrocytes) cells, participate in the secretion of many proinflammatory cytokines, chemokines, proteases (MMPs, ADAMTS), and other matrix lysing enzymes that could disturb the immune balance leading to cartilage and bone damage. The presence of autoantibodies preceding the clinical onset of arthritis and the induction of bone erosion early in the disease course clearly suggest that initiation events damaging the cartilage and bone start very early during the autoimmune phase of the arthritis development. During this process, several signaling molecules (RANKL-RANK, NF-κB, MAPK, NFATc1, and Src kinase) are activated in the osteoclasts, cells responsible for bone resorption. Hence, comprehensive knowledge on pathogenesis is a prerequisite for prevention and development of targeted clinical treatment for RA patients that can restore the immune balance improving clinical therapy. |
format | Article |
id | doaj-art-9e1528ccfa664858a92963c33b2b1f48 |
institution | Kabale University |
issn | 0962-9351 1466-1861 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
series | Mediators of Inflammation |
spelling | doaj-art-9e1528ccfa664858a92963c33b2b1f482025-02-03T01:05:06ZengWileyMediators of Inflammation0962-93511466-18612020-01-01202010.1155/2020/38302123830212Molecular and Cellular Pathways Contributing to Joint Damage in Rheumatoid ArthritisQinghua Fang0Chun Zhou1Kutty Selva Nandakumar2SMU-KI United Medical Inflammation Center, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, ChinaSMU-KI United Medical Inflammation Center, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, ChinaSMU-KI United Medical Inflammation Center, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, ChinaRheumatoid arthritis is a chronic autoimmune syndrome associated with several genetic, epigenetic, and environmental factors affecting the articular joints contributing to cartilage and bone damage. Although etiology of this disease is not clear, several immune pathways, involving immune (T cells, B cells, dendritic cells, macrophages, and neutrophils) and nonimmune (fibroblasts and chondrocytes) cells, participate in the secretion of many proinflammatory cytokines, chemokines, proteases (MMPs, ADAMTS), and other matrix lysing enzymes that could disturb the immune balance leading to cartilage and bone damage. The presence of autoantibodies preceding the clinical onset of arthritis and the induction of bone erosion early in the disease course clearly suggest that initiation events damaging the cartilage and bone start very early during the autoimmune phase of the arthritis development. During this process, several signaling molecules (RANKL-RANK, NF-κB, MAPK, NFATc1, and Src kinase) are activated in the osteoclasts, cells responsible for bone resorption. Hence, comprehensive knowledge on pathogenesis is a prerequisite for prevention and development of targeted clinical treatment for RA patients that can restore the immune balance improving clinical therapy.http://dx.doi.org/10.1155/2020/3830212 |
spellingShingle | Qinghua Fang Chun Zhou Kutty Selva Nandakumar Molecular and Cellular Pathways Contributing to Joint Damage in Rheumatoid Arthritis Mediators of Inflammation |
title | Molecular and Cellular Pathways Contributing to Joint Damage in Rheumatoid Arthritis |
title_full | Molecular and Cellular Pathways Contributing to Joint Damage in Rheumatoid Arthritis |
title_fullStr | Molecular and Cellular Pathways Contributing to Joint Damage in Rheumatoid Arthritis |
title_full_unstemmed | Molecular and Cellular Pathways Contributing to Joint Damage in Rheumatoid Arthritis |
title_short | Molecular and Cellular Pathways Contributing to Joint Damage in Rheumatoid Arthritis |
title_sort | molecular and cellular pathways contributing to joint damage in rheumatoid arthritis |
url | http://dx.doi.org/10.1155/2020/3830212 |
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