类风湿关节炎中的 Wnt 信号通路,特别强调其在滑膜炎症和骨重塑中的不同作用。

Wnt signaling pathway in rheumatoid arthritis, with special emphasis on the different roles in synovial inflammation and bone remodeling.

机构信息

School of Pharmacy, Institute for Liver Diseases of Anhui Medical University, Anhui Key Laboratory of Bioactivity of Natural Products, Anhui Medical University, Hefei 230032, China.

出版信息

Cell Signal. 2013 Oct;25(10):2069-78. doi: 10.1016/j.cellsig.2013.04.002. Epub 2013 Apr 17.

Abstract

Rheumatoid arthritis (RA) is a chronic symmetrical autoimmune disease of unknown etiology that affects primarily the diarthrodial joints. Characteristic features of RA pathogenesis are synovial inflammation and proliferation accompanied by cartilage erosion and bone loss. Fibroblast-like synoviocytes (FLS) display an important role in the pathogenesis of RA. Several lines of evidence show that the Wnt signaling pathway significantly participates in the RA pathogenesis. The Wnt proteins are glycoproteins that bind to the Fz receptors on the cell surface, which leads to several important biological functions, such as cell differentiation, embryonic development, limb development and joint formation. Accumulated evidence has suggested that this signaling pathway plays a key role in the FLS activation, bone resorption and joint destruction during RA development. Greater knowledge of the role of the Wnt signaling pathway in RA could improve understanding of the RA pathogenesis and the differences in RA clinical presentation and prognosis. In this review, new advances of the Wnt signaling pathway in RA pathogenesis are discussed, with special emphasis on its different roles in synovial inflammation and bone remodeling. Further studies are needed to reveal the important role of the members of the Wnt signaling pathway in the RA pathogenesis and treatment.

摘要

类风湿关节炎(RA)是一种病因不明的慢性对称性自身免疫性疾病,主要影响滑膜关节。RA 发病机制的特征是滑膜炎症和增殖,伴有软骨侵蚀和骨质流失。成纤维样滑膜细胞(FLS)在 RA 的发病机制中起着重要作用。有几条证据表明 Wnt 信号通路显著参与了 RA 的发病机制。Wnt 蛋白是一种糖蛋白,与细胞表面的 Fz 受体结合,导致细胞分化、胚胎发育、肢体发育和关节形成等重要的生物学功能。越来越多的证据表明,该信号通路在 RA 发展过程中的 FLS 激活、骨吸收和关节破坏中起着关键作用。对 Wnt 信号通路在 RA 发病机制中的作用的进一步了解可以加深对 RA 发病机制以及 RA 临床表现和预后差异的认识。本文讨论了 Wnt 信号通路在 RA 发病机制中的新进展,特别强调了其在滑膜炎症和骨重塑中的不同作用。需要进一步的研究来揭示 Wnt 信号通路成员在 RA 发病机制和治疗中的重要作用。

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