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Cited by 230

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Bone remodeling in rheumatic disease: a question of balance

Walsh, Nicole C., Gravallese, Ellen M.·2010·Immunological Reviews

Abstract

Summary: The past decade has observed an explosion of new information regarding the impact of inflammation on bone. In rheumatic diseases, several factors that act as both immune modulators and regulators of bone homeostasis have been shown to mediate an imbalance in bone resorption and bone formation resulting in joint degeneration. In rheumatoid arthritis (RA), focal bone loss is due to excess bone resorption by osteoclasts. Resorption is mediated in part by increased local expression of the cytokine receptor activator of nuclear factor‐κB ligand (RANKL) compared with expression of its decoy receptor osteoprotegerin (OPG). Bone formation by osteoblasts is also impaired at erosion sites in RA, and inhibitors of the canonical Wingless (Wnt) signaling pathway, including DKK1, have been implicated in the suppression of normal osteoblast function at these sites. Inhibition of DKK1 in an animal model of RA attenuated bone erosion by increasing OPG expression as well as promoting bone formation. In contrast to RA, inflammation in the spondyloarthropathies often results in excess periosteal bone formation, highlighting that the net impact of inflammation on bone is specific to the site at which inflammation occurs, and the cell types, cytokines, and factors present within the local bone microenvironment. This fertile area of research bears watching for the identification of novel targets for the prevention of abnormal bone remodeling in inflammatory diseases.

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Crossref · 10.1111/j.0105-2896.2009.00857.x

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Metadata

Authors
Walsh, N. C., & Gravallese, E. M.
Venue
Immunological Reviews
Publisher
Wiley
Published
2009-12-23
Volume
233
Issue
1
Pages
301-312
ISSN
  • 0105-2896 (ISSN-L)
  • 1600-065X
OpenAlex
W2062075330
Cited by
230
References
20
FWCI
0.85
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Bone remodeling in rheumatic disease: a question of balance. https://app.cochat.ai/papers/10.1111/j.0105-2896.2009.00857.x
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Walsh, N. C., & Gravallese, E. M. (2010). Bone remodeling in rheumatic disease: a question of balance. Immunological Reviews. https://doi.org/10.1111/j.0105-2896.2009.00857.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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