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滑膜成纤维细胞在类风湿关节炎关节破坏中的作用新见解。

New Insights into the Role of Synovial Fibroblasts Leading to Joint Destruction in Rheumatoid Arthritis.

机构信息

Department of Orthopedic Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Fukuoka, Japan.

出版信息

Int J Mol Sci. 2023 Mar 8;24(6):5173. doi: 10.3390/ijms24065173.

Abstract

Rheumatoid arthritis (RA), one of the most common autoimmune diseases, is characterized by multiple-joint synovitis with subsequent destruction of bone and cartilage. The excessive autoimmune responses cause an imbalance in bone metabolism, promoting bone resorption and inhibiting bone formation. Preliminary studies have revealed that receptor activator of NF-κB ligand (RANKL)-mediated osteoclast induction is an important component of bone destruction in RA. Synovial fibroblasts are the crucial producers of RANKL in the RA synovium; novel analytical techniques, primarily, single-cell RNA sequencing, have confirmed that synovial fibroblasts include heterogeneous subsets of both pro-inflammatory and tissue-destructive cell types. The heterogeneity of immune cells in the RA synovium and the interaction of synovial fibroblasts with immune cells have recently received considerable attention. The current review focused on the latest findings regarding the crosstalk between synovial fibroblasts and immune cells, and the pivotal role played by synovial fibroblasts in joint destruction in RA.

摘要

类风湿关节炎(RA)是最常见的自身免疫性疾病之一,其特征是多关节滑膜炎,随后发生骨和软骨破坏。过度的自身免疫反应导致骨代谢失衡,促进破骨细胞吸收和抑制成骨细胞形成。初步研究表明,核因子-κB 配体(RANKL)介导的破骨细胞诱导是 RA 骨破坏的重要组成部分。滑膜成纤维细胞是 RA 滑膜中 RANKL 的关键产生者;新型分析技术,主要是单细胞 RNA 测序,已证实滑膜成纤维细胞包括促炎和组织破坏性细胞类型的异质性亚群。RA 滑膜中的免疫细胞异质性以及滑膜成纤维细胞与免疫细胞的相互作用最近受到了相当大的关注。本综述重点介绍了滑膜成纤维细胞与免疫细胞之间相互作用的最新发现,以及滑膜成纤维细胞在 RA 关节破坏中的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/051a/10049180/35cbb8f56921/ijms-24-05173-g001.jpg

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