Hassani Seyede-Sara, Farhadi Elham, Esmaeili Seyed-Alireza, Mahmoudi Mahdi, Mahmoudi Mahmoud, Afshari Jalil Tavakol, Akhlaghi Masoumeh, Jamshidi Ahmadreza
Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Kargar Avenue, PO Box 1411713137, Tehran, Iran.
Department of Immunology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mol Biol Rep. 2025 Jul 1;52(1):662. doi: 10.1007/s11033-025-10769-9.
Rheumatoid arthritis (RA) is a systemic immune-mediated synovial disorder characterized by chronic inflammation in the joints, resulting in heightened bone resorption and physical disabilities. RA develops through a complex interaction of different cellular and molecular factors. Fibroblast-like synoviocytes (FLSs), which have a significant role in the pathophysiology of RA, exhibiting an aggressive and inflammatory phenotype that leads to increased osteoclastogenesis and joint destruction. Understanding the cell-to-cell communication between osteoclasts and FLSs is essential for elucidating the pathophysiology of RA and identifying potential therapeutic targets for retrieving joint integrity and function. In this review, by studying the interactions of FLS and osteoclast in the inflammatory process of the disease, the ERK and PI3K/Akt pathways were found as common points in the activation of FLSs and osteoclastogenesis, which can be introduced as potential therapeutic targets in the experimental researches aimed at reducing bone destruction.
类风湿性关节炎(RA)是一种全身性免疫介导的滑膜疾病,其特征是关节慢性炎症,导致骨吸收增加和身体残疾。RA通过不同细胞和分子因素的复杂相互作用发展而来。成纤维细胞样滑膜细胞(FLS)在RA的病理生理学中起重要作用,表现出侵袭性和炎症表型,导致破骨细胞生成增加和关节破坏。了解破骨细胞与FLS之间的细胞间通讯对于阐明RA的病理生理学以及确定恢复关节完整性和功能的潜在治疗靶点至关重要。在本综述中,通过研究疾病炎症过程中FLS与破骨细胞的相互作用,发现ERK和PI3K/Akt信号通路是FLS激活和破骨细胞生成的共同作用点,可作为旨在减少骨破坏的实验研究中的潜在治疗靶点。
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