Itoh Yoshifumi
Kennedy Institute of Rheumatology, University of Oxford, Oxford, United Kingdom.
Prog Mol Biol Transl Sci. 2017;148:327-338. doi: 10.1016/bs.pmbts.2017.03.002. Epub 2017 Apr 18.
Rheumatoid arthritis (RA) is a systemic inflammatory disease characterized by the destruction of joint tissues including cartilage and bone. Cartilage degradation is attributed to metalloproteinases (MPs) that belong to matrix metalloproteinase family and a disintegrin and metalloprotease with thrombospondin type 1 motifs produced by inflamed joint tissues. In addition, an enzyme that belongs to a disintegrin and metalloprotease family is also involved in release of inflammatory cytokines. Several highly selective inhibitors have been developed for MPs thought to play a role in RA pathogenesis and examining these inhibitors as potential drugs is becoming realistic. This chapter discusses recent reports on MPs in RA and their potential as a therapeutic target.
类风湿性关节炎(RA)是一种全身性炎症性疾病,其特征是包括软骨和骨骼在内的关节组织遭到破坏。软骨降解归因于金属蛋白酶(MPs),这些酶属于基质金属蛋白酶家族,以及由发炎的关节组织产生的具有血小板反应蛋白1型基序的去整合素和金属蛋白酶。此外,一种属于去整合素和金属蛋白酶家族的酶也参与炎症细胞因子的释放。已经开发出几种针对被认为在RA发病机制中起作用的MPs的高度选择性抑制剂,将这些抑制剂作为潜在药物进行研究正变得切实可行。本章讨论了关于RA中MPs的最新报道及其作为治疗靶点的潜力。
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