Adipocytokines in Rheumatoid Arthritis: The Hidden Link between Inflammation and Cardiometabolic Comorbidities

Rheumatoid arthritis is a chronic autoimmune disease affecting typically synovial joints and leading to progressive articular damage, disability, and reduced quality of life. Despite better recent therapeutic strategies improving long-term outcomes, RA is associated with a high rate of comorbidities...

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Main Authors: Piero Ruscitti, Paola Di Benedetto, Onorina Berardicurti, Vasiliki Liakouli, Francesco Carubbi, Paola Cipriani, Roberto Giacomelli
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2018/8410182
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author Piero Ruscitti
Paola Di Benedetto
Onorina Berardicurti
Vasiliki Liakouli
Francesco Carubbi
Paola Cipriani
Roberto Giacomelli
author_facet Piero Ruscitti
Paola Di Benedetto
Onorina Berardicurti
Vasiliki Liakouli
Francesco Carubbi
Paola Cipriani
Roberto Giacomelli
author_sort Piero Ruscitti
collection DOAJ
description Rheumatoid arthritis is a chronic autoimmune disease affecting typically synovial joints and leading to progressive articular damage, disability, and reduced quality of life. Despite better recent therapeutic strategies improving long-term outcomes, RA is associated with a high rate of comorbidities, infections, malignancies, and cardiovascular disease (CVD). Remarkably, some well-known pathogenic proinflammatory mediators in RA, such as interleukin-1β (IL-1β) and tumor necrosis factor (TNF), may play a pivotal role in the development of CVD. Interestingly, different preclinical and clinical studies have suggested that biologic agents commonly used to treat RA patients may be effective in improving CVD. In this context, the contribution of adipocytokines has been suggested. Adipocytokines are pleiotropic molecules, mainly released by white adipose tissue and immune cells. Adipocytokines modulate the function of different tissues and cells, and in addition to energy homeostasis and metabolism, amplify inflammation, immune response, and tissue damage. Adipocytokines may contribute to the proinflammatory state in RA patients and development of bone damage. Furthermore, they could be associated with the occurrence of CVD. In this study, we reviewed available evidence about adipocytokines in RA, because of their involvement in disease activity, associated CVD, and possible biomarkers of prognosis and treatment outcome and because of their potential as a possible new therapeutic target.
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institution Kabale University
issn 2314-8861
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spelling doaj-art-9eff16f79217436babfd18df213277a22025-02-03T06:44:17ZengWileyJournal of Immunology Research2314-88612314-71562018-01-01201810.1155/2018/84101828410182Adipocytokines in Rheumatoid Arthritis: The Hidden Link between Inflammation and Cardiometabolic ComorbiditiesPiero Ruscitti0Paola Di Benedetto1Onorina Berardicurti2Vasiliki Liakouli3Francesco Carubbi4Paola Cipriani5Roberto Giacomelli6Rheumatology Unit, Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Delta 6 Building, L’Aquila, PO Box 67100, ItalyRheumatology Unit, Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Delta 6 Building, L’Aquila, PO Box 67100, ItalyRheumatology Unit, Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Delta 6 Building, L’Aquila, PO Box 67100, ItalyRheumatology Unit, Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Delta 6 Building, L’Aquila, PO Box 67100, ItalyRheumatology Unit, Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Delta 6 Building, L’Aquila, PO Box 67100, ItalyRheumatology Unit, Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Delta 6 Building, L’Aquila, PO Box 67100, ItalyRheumatology Unit, Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Delta 6 Building, L’Aquila, PO Box 67100, ItalyRheumatoid arthritis is a chronic autoimmune disease affecting typically synovial joints and leading to progressive articular damage, disability, and reduced quality of life. Despite better recent therapeutic strategies improving long-term outcomes, RA is associated with a high rate of comorbidities, infections, malignancies, and cardiovascular disease (CVD). Remarkably, some well-known pathogenic proinflammatory mediators in RA, such as interleukin-1β (IL-1β) and tumor necrosis factor (TNF), may play a pivotal role in the development of CVD. Interestingly, different preclinical and clinical studies have suggested that biologic agents commonly used to treat RA patients may be effective in improving CVD. In this context, the contribution of adipocytokines has been suggested. Adipocytokines are pleiotropic molecules, mainly released by white adipose tissue and immune cells. Adipocytokines modulate the function of different tissues and cells, and in addition to energy homeostasis and metabolism, amplify inflammation, immune response, and tissue damage. Adipocytokines may contribute to the proinflammatory state in RA patients and development of bone damage. Furthermore, they could be associated with the occurrence of CVD. In this study, we reviewed available evidence about adipocytokines in RA, because of their involvement in disease activity, associated CVD, and possible biomarkers of prognosis and treatment outcome and because of their potential as a possible new therapeutic target.http://dx.doi.org/10.1155/2018/8410182
spellingShingle Piero Ruscitti
Paola Di Benedetto
Onorina Berardicurti
Vasiliki Liakouli
Francesco Carubbi
Paola Cipriani
Roberto Giacomelli
Adipocytokines in Rheumatoid Arthritis: The Hidden Link between Inflammation and Cardiometabolic Comorbidities
Journal of Immunology Research
title Adipocytokines in Rheumatoid Arthritis: The Hidden Link between Inflammation and Cardiometabolic Comorbidities
title_full Adipocytokines in Rheumatoid Arthritis: The Hidden Link between Inflammation and Cardiometabolic Comorbidities
title_fullStr Adipocytokines in Rheumatoid Arthritis: The Hidden Link between Inflammation and Cardiometabolic Comorbidities
title_full_unstemmed Adipocytokines in Rheumatoid Arthritis: The Hidden Link between Inflammation and Cardiometabolic Comorbidities
title_short Adipocytokines in Rheumatoid Arthritis: The Hidden Link between Inflammation and Cardiometabolic Comorbidities
title_sort adipocytokines in rheumatoid arthritis the hidden link between inflammation and cardiometabolic comorbidities
url http://dx.doi.org/10.1155/2018/8410182
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