Positive regulators of osteoclastogenesis and bone resorption in rheumatoid arthritis

Bone destruction is a frequent and clinically serious event in patients with rheumatoid arthritis (RA). Local joint destruction can cause joint instability and often necessitates reconstructive or replacement surgery. Moreover, inflammation-induced systemic bone loss is associated with an increased...

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Main Authors: Braun, Tobias, Zwerina, Jochen
Format: Online
Language:English
Published: BioMed Central 2011
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3239343/
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recordtype oai_dc
spelling pubmed-32393432012-01-28 Positive regulators of osteoclastogenesis and bone resorption in rheumatoid arthritis Braun, Tobias Zwerina, Jochen Review Bone destruction is a frequent and clinically serious event in patients with rheumatoid arthritis (RA). Local joint destruction can cause joint instability and often necessitates reconstructive or replacement surgery. Moreover, inflammation-induced systemic bone loss is associated with an increased fracture risk. Bone resorption is a well-controlled process that is dependent on the differentiation of monocytes to bone-resorbing osteoclasts. Infiltrating as well as resident synovial cells, such as T cells, monocytes and synovial fibroblasts, have been identified as sources of osteoclast differentiation signals in RA patients. Pro-inflammatory cytokines are amongst the most important mechanisms driving this process. In particular, macrophage colony-stimulating factor, RANKL, TNF, IL-1 and IL-17 may play dominant roles in the pathogenesis of arthritis-associated bone loss. These cytokines activate different intracellular pathways to initiate osteoclast differentiation. Thus, over the past years several promising targets for the treatment of arthritic bone destruction have been defined. BioMed Central 2011 2011-07-28 /pmc/articles/PMC3239343/ /pubmed/21861862 http://dx.doi.org/10.1186/ar3380 Text en Copyright ©2011 BioMed Central Ltd
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Braun, Tobias
Zwerina, Jochen
spellingShingle Braun, Tobias
Zwerina, Jochen
Positive regulators of osteoclastogenesis and bone resorption in rheumatoid arthritis
author_facet Braun, Tobias
Zwerina, Jochen
author_sort Braun, Tobias
title Positive regulators of osteoclastogenesis and bone resorption in rheumatoid arthritis
title_short Positive regulators of osteoclastogenesis and bone resorption in rheumatoid arthritis
title_full Positive regulators of osteoclastogenesis and bone resorption in rheumatoid arthritis
title_fullStr Positive regulators of osteoclastogenesis and bone resorption in rheumatoid arthritis
title_full_unstemmed Positive regulators of osteoclastogenesis and bone resorption in rheumatoid arthritis
title_sort positive regulators of osteoclastogenesis and bone resorption in rheumatoid arthritis
description Bone destruction is a frequent and clinically serious event in patients with rheumatoid arthritis (RA). Local joint destruction can cause joint instability and often necessitates reconstructive or replacement surgery. Moreover, inflammation-induced systemic bone loss is associated with an increased fracture risk. Bone resorption is a well-controlled process that is dependent on the differentiation of monocytes to bone-resorbing osteoclasts. Infiltrating as well as resident synovial cells, such as T cells, monocytes and synovial fibroblasts, have been identified as sources of osteoclast differentiation signals in RA patients. Pro-inflammatory cytokines are amongst the most important mechanisms driving this process. In particular, macrophage colony-stimulating factor, RANKL, TNF, IL-1 and IL-17 may play dominant roles in the pathogenesis of arthritis-associated bone loss. These cytokines activate different intracellular pathways to initiate osteoclast differentiation. Thus, over the past years several promising targets for the treatment of arthritic bone destruction have been defined.
publisher BioMed Central
publishDate 2011
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3239343/
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