Pathomechanisms of bone loss in rheumatoid arthritis

Rheumatoid arthritis (RA) is an autoimmune disease, in which the inflammatory processes involve the skeletal system and there is marked destruction of the bones and the surrounding structures. In this review, we discuss the current concepts of osteoimmunology in RA, which represent the molecular cro...

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Main Authors: Rajalingham Sakthiswary, Rajeswaran Uma Veshaaliini, Kok-Yong Chin, Srijit Das, Srinivasa Rao Sirasanagandla
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.962969/full
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author Rajalingham Sakthiswary
Rajeswaran Uma Veshaaliini
Kok-Yong Chin
Srijit Das
Srinivasa Rao Sirasanagandla
author_facet Rajalingham Sakthiswary
Rajeswaran Uma Veshaaliini
Kok-Yong Chin
Srijit Das
Srinivasa Rao Sirasanagandla
author_sort Rajalingham Sakthiswary
collection DOAJ
description Rheumatoid arthritis (RA) is an autoimmune disease, in which the inflammatory processes involve the skeletal system and there is marked destruction of the bones and the surrounding structures. In this review, we discuss the current concepts of osteoimmunology in RA, which represent the molecular crosstalk between the immune and skeletal systems, resulting in the disruption of bone remodeling. Bone loss in RA can be focal or generalized, leading to secondary osteoporosis. We have summarized the recent studies of bone loss in RA, which focused on the molecular aspects, such as cytokines, autoantibodies, receptor activator of nuclear kappa-β ligand (RANKL) and osteoprotegerin (OPG). Apart from the above molecules, the role of aryl hydrocarbon receptor (Ahr), which is a potential key mediator in this process through the generation of the Th17 cells, is discussed. Hence, this review highlights the key insights into molecular mechanisms of bone loss in RA.
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spelling doaj.art-123577d41f5b40bcbe642ae885dcb80e2022-12-22T01:41:40ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-08-01910.3389/fmed.2022.962969962969Pathomechanisms of bone loss in rheumatoid arthritisRajalingham Sakthiswary0Rajeswaran Uma Veshaaliini1Kok-Yong Chin2Srijit Das3Srinivasa Rao Sirasanagandla4Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MalaysiaDepartment of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MalaysiaDepartment of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MalaysiaDepartment of Human and Clinical Anatomy College of Medicine and Health Sciences Sultan Qaboos University, Muscat, OmanDepartment of Human and Clinical Anatomy College of Medicine and Health Sciences Sultan Qaboos University, Muscat, OmanRheumatoid arthritis (RA) is an autoimmune disease, in which the inflammatory processes involve the skeletal system and there is marked destruction of the bones and the surrounding structures. In this review, we discuss the current concepts of osteoimmunology in RA, which represent the molecular crosstalk between the immune and skeletal systems, resulting in the disruption of bone remodeling. Bone loss in RA can be focal or generalized, leading to secondary osteoporosis. We have summarized the recent studies of bone loss in RA, which focused on the molecular aspects, such as cytokines, autoantibodies, receptor activator of nuclear kappa-β ligand (RANKL) and osteoprotegerin (OPG). Apart from the above molecules, the role of aryl hydrocarbon receptor (Ahr), which is a potential key mediator in this process through the generation of the Th17 cells, is discussed. Hence, this review highlights the key insights into molecular mechanisms of bone loss in RA.https://www.frontiersin.org/articles/10.3389/fmed.2022.962969/fullrheumatoid arthritisboneosteoporosiscytokinesligandsautoantibodies
spellingShingle Rajalingham Sakthiswary
Rajeswaran Uma Veshaaliini
Kok-Yong Chin
Srijit Das
Srinivasa Rao Sirasanagandla
Pathomechanisms of bone loss in rheumatoid arthritis
Frontiers in Medicine
rheumatoid arthritis
bone
osteoporosis
cytokines
ligands
autoantibodies
title Pathomechanisms of bone loss in rheumatoid arthritis
title_full Pathomechanisms of bone loss in rheumatoid arthritis
title_fullStr Pathomechanisms of bone loss in rheumatoid arthritis
title_full_unstemmed Pathomechanisms of bone loss in rheumatoid arthritis
title_short Pathomechanisms of bone loss in rheumatoid arthritis
title_sort pathomechanisms of bone loss in rheumatoid arthritis
topic rheumatoid arthritis
bone
osteoporosis
cytokines
ligands
autoantibodies
url https://www.frontiersin.org/articles/10.3389/fmed.2022.962969/full
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