The Influence of Adipokines on Radiographic Damage in Inflammatory Rheumatic Diseases

Inflammatory rheumatic diseases (IRDs) are complex immune-mediated diseases that are characterized by chronic inflammation of the joints. Rheumatoid arthritis (RA) and spondyloarthritis (SpA), including axial SpA (ax SpA) and psoriatic arthritis (PsA), are the most common forms of IRD. Both RA and a...

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Main Author: Eric Toussirot
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/2/536
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author Eric Toussirot
author_facet Eric Toussirot
author_sort Eric Toussirot
collection DOAJ
description Inflammatory rheumatic diseases (IRDs) are complex immune-mediated diseases that are characterized by chronic inflammation of the joints. Rheumatoid arthritis (RA) and spondyloarthritis (SpA), including axial SpA (ax SpA) and psoriatic arthritis (PsA), are the most common forms of IRD. Both RA and ax SpA are characterized by a chronic course with progressive structural modifications, namely, cartilage damage and bone erosions in RA and osteoproliferative changes with spinal ossifications in ax SpA. The adipose tissue is involved in the pathophysiology of IRDs via the release of several proteins, namely, adipokines. Several adipokines with pro-inflammatory effects have been identified, such as leptin, adiponectin, visfatin and resistin. In this review, we discuss the role that adipokines may play in the structural modifications of the peripheral joints and/or axial skeleton. In RA, the role of leptin in structural damage remains controversial, while adiponectin and its high-molecular-weight isoform are known to have an influence on the development of bone erosions and radiographic progression. Resistin also appears to be a potent detrimental adipokine for the joints in RA. In ax SpA, visfatin seems to be an attractive candidate for radiographic progression, while leptin and adiponectin have negative effects on radiographic progression.
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spelling doaj.art-740d6ad28b11497fb128ec75e3acd4e72023-11-16T19:19:40ZengMDPI AGBiomedicines2227-90592023-02-0111253610.3390/biomedicines11020536The Influence of Adipokines on Radiographic Damage in Inflammatory Rheumatic DiseasesEric Toussirot0INSERM CIC-1431, Centre d’Investigation Clinique Biothérapie, Pôle Recherche, CHU de Besançon, 25000 Besançon, FranceInflammatory rheumatic diseases (IRDs) are complex immune-mediated diseases that are characterized by chronic inflammation of the joints. Rheumatoid arthritis (RA) and spondyloarthritis (SpA), including axial SpA (ax SpA) and psoriatic arthritis (PsA), are the most common forms of IRD. Both RA and ax SpA are characterized by a chronic course with progressive structural modifications, namely, cartilage damage and bone erosions in RA and osteoproliferative changes with spinal ossifications in ax SpA. The adipose tissue is involved in the pathophysiology of IRDs via the release of several proteins, namely, adipokines. Several adipokines with pro-inflammatory effects have been identified, such as leptin, adiponectin, visfatin and resistin. In this review, we discuss the role that adipokines may play in the structural modifications of the peripheral joints and/or axial skeleton. In RA, the role of leptin in structural damage remains controversial, while adiponectin and its high-molecular-weight isoform are known to have an influence on the development of bone erosions and radiographic progression. Resistin also appears to be a potent detrimental adipokine for the joints in RA. In ax SpA, visfatin seems to be an attractive candidate for radiographic progression, while leptin and adiponectin have negative effects on radiographic progression.https://www.mdpi.com/2227-9059/11/2/536adipokinesrheumatoid arthritisaxial spondyloarthritisbone erosionsyndesmophyte
spellingShingle Eric Toussirot
The Influence of Adipokines on Radiographic Damage in Inflammatory Rheumatic Diseases
Biomedicines
adipokines
rheumatoid arthritis
axial spondyloarthritis
bone erosion
syndesmophyte
title The Influence of Adipokines on Radiographic Damage in Inflammatory Rheumatic Diseases
title_full The Influence of Adipokines on Radiographic Damage in Inflammatory Rheumatic Diseases
title_fullStr The Influence of Adipokines on Radiographic Damage in Inflammatory Rheumatic Diseases
title_full_unstemmed The Influence of Adipokines on Radiographic Damage in Inflammatory Rheumatic Diseases
title_short The Influence of Adipokines on Radiographic Damage in Inflammatory Rheumatic Diseases
title_sort influence of adipokines on radiographic damage in inflammatory rheumatic diseases
topic adipokines
rheumatoid arthritis
axial spondyloarthritis
bone erosion
syndesmophyte
url https://www.mdpi.com/2227-9059/11/2/536
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