Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University, Saitama, Japan; Project Research Division, Research Center for Genomic Medicine, Saitama Medical University, Saitama, Japan.
J Immunol Res. 2016;2016:6290682. doi: 10.1155/2016/6290682. Epub 2016 Dec 28.
Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease that is characterized by synovial hyperplasia and progressive joint destruction. The activation of RA synovial fibroblasts (SFs), also called fibroblast-like synoviocytes (FLS), contributes significantly to perpetuation of the disease. Genetic and environmental factors have been reported to be involved in the etiology of RA but are insufficient to explain it. In recent years, accumulating results have shown the potential role of epigenetic mechanisms, including histone modifications, DNA methylation, and microRNAs, in the development of RA. Epigenetic mechanisms regulate chromatin state and gene transcription without any change in DNA sequence, resulting in the alteration of phenotypes in several cell types, especially RASFs. Epigenetic changes possibly provide RASFs with an activated phenotype. In this paper, we review the roles of epigenetic mechanisms relevant for the progression of RA.
类风湿关节炎(RA)是一种慢性炎症性自身免疫性疾病,其特征为滑膜增生和进行性关节破坏。RA 滑膜成纤维细胞(SFs)的激活,也称为成纤维样滑膜细胞(FLS),对疾病的持续存在有重要贡献。遗传和环境因素已被报道参与 RA 的发病机制,但不足以解释其发病机制。近年来,越来越多的研究结果表明,表观遗传机制,包括组蛋白修饰、DNA 甲基化和 microRNAs,在 RA 的发生发展中起重要作用。表观遗传机制调节染色质状态和基因转录,而不改变 DNA 序列,导致几种细胞类型,特别是 RA-SFs 的表型改变。表观遗传改变可能为 RA-SFs 提供激活表型。本文综述了与 RA 进展相关的表观遗传机制的作用。
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