Wang Tao, Wang Zhandong, Qi Wenxia, Jiang Ganggang, Wang Gang
Gansu University of Chinese Medicine, Lanzhou, 730020, People's Republic of China.
Affiliated Hospital of Gansu University of Chinese Medicine, Lanzhou, 730020, People's Republic of China.
J Inflamm Res. 2023 Mar 24;16:1283-1296. doi: 10.2147/JIR.S403925. eCollection 2023.
Rheumatoid arthritis (RA) is a persistent systemic autoimmune disease with the hallmarks of swelling of the joint, joint tenderness, and progressive joint destruction, which may cause synovial inflammation and pannus as a basic pathological change, resulting in joint malformations and serious disorders. At present, the precise etiology and mechanism of pathogenesis of RA are unknown. The imbalance of immune homeostasis is the origin of RA. Hippo pathway is widely expressed in a range of cell lineages and plays a fundamental role in maintaining the immune steady state and may be involved in the pathogenic mechanism of RA. This study reviews the progress of Hippo pathway and its main members in the pathogenesis of RA from three aspects: regulating the maintenance of autoimmune homeostasis, promoting the pathogenicity of synovial fibroblasts and regulating the differentiation of osteoclasts. The study also presents a new way to recognize the pathogenesis of rheumatoid arthritis, which is favorable for finding a new way for treating the rheumatoid arthritis.
类风湿关节炎(RA)是一种持续性的全身性自身免疫性疾病,其特征为关节肿胀、关节压痛和进行性关节破坏,可导致滑膜炎症和血管翳作为基本病理变化,进而引起关节畸形和严重功能障碍。目前,RA的确切病因和发病机制尚不清楚。免疫稳态失衡是RA的根源。Hippo信号通路在一系列细胞谱系中广泛表达,在维持免疫稳态中起重要作用,可能参与RA的发病机制。本研究从调节自身免疫稳态维持、促进滑膜成纤维细胞致病性和调节破骨细胞分化三个方面综述了Hippo信号通路及其主要成员在RA发病机制中的研究进展。该研究还为认识类风湿关节炎的发病机制提供了新途径,有利于寻找治疗类风湿关节炎的新方法。