The Role of the IL-23/IL-17 Pathway in the Pathogenesis of Spondyloarthritis

Spondyloarthritis (SpA) is a subset of seronegative rheumatic-related autoimmune diseases that consist of ankylosing spondylitis (AS), psoriatic spondylitis (PsA), reactive spondylitis (re-SpA), inflammatory bowel disease (IBD)-associated spondylitis, and unclassifiable spondylitis. These subsets sh...

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Main Authors: Hiroyuki Tsukazaki, Takashi Kaito
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/17/6401
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author Hiroyuki Tsukazaki
Takashi Kaito
author_facet Hiroyuki Tsukazaki
Takashi Kaito
author_sort Hiroyuki Tsukazaki
collection DOAJ
description Spondyloarthritis (SpA) is a subset of seronegative rheumatic-related autoimmune diseases that consist of ankylosing spondylitis (AS), psoriatic spondylitis (PsA), reactive spondylitis (re-SpA), inflammatory bowel disease (IBD)-associated spondylitis, and unclassifiable spondylitis. These subsets share clinical phenotypes such as joint inflammation and extra-articular manifestations (uveitis, IBD, and psoriasis [Ps]). Inflammation at the enthesis, where ligaments and tendons attach to bones, characterizes and distinguishes SpA from other types of arthritis. Over the past several years, genetic, experimental, and clinical studies have accumulated evidence showing that the IL-23/IL-17 axis plays a critical role in the pathogenesis of SpA. These discoveries include genetic association and the identification of IL-23- and IL-17-producing cells in the tissue of mouse models and human patients. In this review, we summarize the current knowledge of the pathomechanism by focusing on the IL-23/IL-17 pathway and examine the recent clinical studies of biological agents targeting IL-23 and IL-17 in the treatment of SpA.
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spelling doaj.art-321a051a473c42d0810b03cdd67da3dc2023-11-20T12:23:34ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-09-012117640110.3390/ijms21176401The Role of the IL-23/IL-17 Pathway in the Pathogenesis of SpondyloarthritisHiroyuki Tsukazaki0Takashi Kaito1Department of Orthopedic Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Orthopedic Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanSpondyloarthritis (SpA) is a subset of seronegative rheumatic-related autoimmune diseases that consist of ankylosing spondylitis (AS), psoriatic spondylitis (PsA), reactive spondylitis (re-SpA), inflammatory bowel disease (IBD)-associated spondylitis, and unclassifiable spondylitis. These subsets share clinical phenotypes such as joint inflammation and extra-articular manifestations (uveitis, IBD, and psoriasis [Ps]). Inflammation at the enthesis, where ligaments and tendons attach to bones, characterizes and distinguishes SpA from other types of arthritis. Over the past several years, genetic, experimental, and clinical studies have accumulated evidence showing that the IL-23/IL-17 axis plays a critical role in the pathogenesis of SpA. These discoveries include genetic association and the identification of IL-23- and IL-17-producing cells in the tissue of mouse models and human patients. In this review, we summarize the current knowledge of the pathomechanism by focusing on the IL-23/IL-17 pathway and examine the recent clinical studies of biological agents targeting IL-23 and IL-17 in the treatment of SpA.https://www.mdpi.com/1422-0067/21/17/6401Spondyloarthritisankylosing arthritispsoriatic arthritisinterleukin-17interleukin-23
spellingShingle Hiroyuki Tsukazaki
Takashi Kaito
The Role of the IL-23/IL-17 Pathway in the Pathogenesis of Spondyloarthritis
International Journal of Molecular Sciences
Spondyloarthritis
ankylosing arthritis
psoriatic arthritis
interleukin-17
interleukin-23
title The Role of the IL-23/IL-17 Pathway in the Pathogenesis of Spondyloarthritis
title_full The Role of the IL-23/IL-17 Pathway in the Pathogenesis of Spondyloarthritis
title_fullStr The Role of the IL-23/IL-17 Pathway in the Pathogenesis of Spondyloarthritis
title_full_unstemmed The Role of the IL-23/IL-17 Pathway in the Pathogenesis of Spondyloarthritis
title_short The Role of the IL-23/IL-17 Pathway in the Pathogenesis of Spondyloarthritis
title_sort role of the il 23 il 17 pathway in the pathogenesis of spondyloarthritis
topic Spondyloarthritis
ankylosing arthritis
psoriatic arthritis
interleukin-17
interleukin-23
url https://www.mdpi.com/1422-0067/21/17/6401
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