The Pathogenesis of Rheumatoid Arthritis
Abstract
The increased understanding of the immune mechanisms of rheumatoid arthritis has led to the development of a considerable number of new therapeutic agents that alter the natural history of the disease and reduce mortality.
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Rheumatoid arthritis is a chronic autoimmune disease characterized by synovial inflammation that can result in damage to articular cartilage and bone.
“Rheumatoid arthritis is a chronic autoimmune disease characterized by synovial inflammation that can result in damage to articular cartilage and bone.205”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [205]
Development of rheumatoid arthritis occurs largely through a loss of tolerance for proteins that have undergone citrullination.
“Development of rheumatoid arthritis occurs largely through a loss of tolerance for proteins that have undergone citrullination (ie, posttranslational modification of a positively charged arginine into a neutral citrulline group).205”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [205]
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Pathologically expanded peripheral T helper cell subset drives B cells in rheumatoid arthritis
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“Although RA pathophysiology remains elusive, the presence of a complex interplay among genotype, epigenetic changes, and environmental factors underlying chronic inflammation is abundantly described (7, 8).”
BackgroundRheumatoid Arthritis: Pathogenic Roles of Diverse Immune Cells
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“176,177 Studies on animal models and human patients have confirmed that NF-κ B is an important inflammatory mediator in RA.”
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“Peripheral Inflammatory Diseases Dysregulation of NLRP3 inflammasome has also been suggested in the pathogenesis of rheumatoid arthritis (RA), a chronic autoimmune disease characterized by persistent synovial inflammation in small diarthrodial joints, progressive cartilage, bone destruction, and autoantibody productio…”
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“This alteration of the immune system induces the production of antibodies that target host cells to cause synovial inflammation as well as cartilage and bone damage [90].”
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“It causes advanced joint damage and mainly affects the synovial tissues, cartilage and bone [1].”
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“Given the sterile nature of the chronic phase of the disease, DAMPs derived from endogenous or altered self-proteins have been described to be associated with inflammation in RA (70).”
BackgroundThe Gut Microbiota in Immune-Mediated Inflammatory Diseases
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The role of autoantibodies in the pathophysiology of rheumatoid arthritis
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Route to Rheumatoid Arthritis by Macrophage-Derived Microvesicle-Coated Nanoparticles
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Self-citationHorta‐Baas, G., Romero-Figueroa, M. D. S., Montiel-Jarquín, Á. J., Pizano-Zárate, M. L., Garcı́a-Mena, J., & Ramírez‐Durán, N. (2017) · Journal of Immunology Research · doi:10.1155/2017/4835189 · Cited by 328 · see citing works
Physical activity and autoimmune diseases: Get moving and manage the disease
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Pfeifle, R., Rothe, T., Ipseiz, N., Scherer, H. U., Culemann, S., Steffen, U., Ackermann, J. A., Seefried, M., Kleyer, A., Uderhardt, S., et al. (2016) · Nature Immunology · doi:10.1038/ni.3579 · Cited by 320 · see citing works
Self-citationCrosstalk Between Gut Microbiota and Innate Immunity and Its Implication in Autoimmune Diseases
Jiao, Y., Wu, L., Huntington, N. D., & Zhang, X. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.00282 · Cited by 321 · see citing works
“Monocytes/Macrophages are also considered to mediate the inflammation of synovitis via other pathways and produce inflammatory cytokines including IL-6/12/15/18/23, reactive oxygen and nitrogen besides TNF-α and IL-1 (136).”
BackgroundC-reactive protein and implications in rheumatoid arthritis and associated comorbidities
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“Proinflammatory pathways result in localized joint and systemic inflammation, [1] with cytokines, such as interleukin-6 (IL-6), tumour”
BackgroundNociceptive neurons detect cytokines in arthritis
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Early Diagnosis and Treatment of Rheumatoid Arthritis
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The Type IX Secretion System (T9SS): Highlights and Recent Insights into Its Structure and Function
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Gut Microbiota Regulation of T Cells During Inflammation and Autoimmunity
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Emerging cell and cytokine targets in rheumatoid arthritis
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The JAK inhibitor tofacitinib suppresses synovial JAK1-STAT signalling in rheumatoid arthritis
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Wollenhaupt, J., Silverfield, J. C., Lee, E. B., Curtis, J. R., Wood, S. P., Soma, K., Nduaka, C. I., Benda, B., Gruben, D. C., Nakamura, H., et al. (2014) · The Journal of Rheumatology · doi:10.3899/jrheum.130683 · Cited by 301 · see citing works
Rheumatoid arthritis: From autoimmunity to synovitis and joint destruction
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Schett, G. A., Emery, P., Tanaka, Y., Burmester, G. R., Pisetsky, D. S., Naredo, E., Fautrel, B., & van Vollenhoven, R. (2016) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2016-209201 · Cited by 297 · see citing works
Self-citationCell-Free DNA as a Biomarker in Autoimmune Rheumatic Diseases
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“Rheumatoid Arthritis RA is, similar to SLE, an autoimmune rheumatic disease primarily affecting joints, with severe and disabling erosion (174).”
Background
- Authors
- McInnes, I. B., & Schett, G.
- Affiliations
- University of Glasgow (GB)
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2011-12-08
- Volume
- 365
- Issue
- 23
- Pages
- 2205-2219
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2110826367
- Cited by
- 5,514
- References
- 100
- Citations by year
- 2026: 313 · 2025: 415 · 2024: 439 · 2023: 443 · 2022: 469 · 2021: 493 · 2020: 465 · 2019: 409 · 2018: 399 · 2017: 394 · 2016: 379 · 2015: 300 · 2014: 276 · 2013: 204 · 2012: 111
- FWCI
- 27.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Medicine › Hematology › Autoimmune and Inflammatory Disorders Research
- Health Sciences › Medicine › Complementary and alternative medicine › Natural Compounds in Disease Treatment
- Keywords
- rheumatoid arthritis, pathogenesis, immune mechanisms, disease-modifying antirheumatic drugs, mortality reduction
- MeSH terms
- Arthritis, Rheumatoid, Humans, Antirheumatic Agents, Gene-Environment Interaction
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