类风湿关节炎中的MAPK/ERK信号通路:机制与治疗潜力

MAPK/ERK signaling pathway in rheumatoid arthritis: mechanisms and therapeutic potential.

作者信息

Xie Jun, Sun Sijuan, Li Qingzhou, Chen Yuhui, Huang Lijun, Wang Dong, Wang Yumei

机构信息

State Key Laboratory of Southwestern Chinese Medicine Resource, School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Santai People's Hospital, Mianyang, China.

出版信息

PeerJ. 2025 Jul 14;13:e19708. doi: 10.7717/peerj.19708. eCollection 2025.

Abstract

Rheumatoid arthritis (RA) is a multifaced autoimmune disorder characterized by chronic joint inflammation, leading to progressive disability and significantly impacting patients' quality of life. Despite advances in treatment, finding a cure or preventing disease progression remains a major clinical challenge, underscoring the urgent need for novel therapeutic strategies. Among various pathways involved in the pathophysiology of RA, the mitogen-activated protein kinases/extracellular regulated protein kinases (MAPK/ERK) pathway is of particular importance. As the central cascade within the broader MAPK signaling pathways, MAPK/ERK plays a critical role in regulating numerous physiological and pathological processes, with a well-established and prominent involvement in RA. Unlike p38 MAPK and c-Jun-N-terminal kinase (JNK), whose role in RA have been well-documented, the specific contributions of the MAPK/ERK pathway to RA remains comprehensively unreviewed. Furthermore, the MAPK/ERK pathway does not act in isolation but interacts synergistically with other major pathways, including NF-κB, Janus kinase-signal transducer and activator of transcription (JAK/STAT), sonic hedgehog (SHH), and PI3K/AKT, which further enhance its pathological effects. This review offers a comprehensive analysis of MAPK/ERK signaling pathway, focusing on its molecular components and its contribution to RA pathophysiology. Furthermore, we explore the cross-talk between MAPK/ERK and other pathways in the context of RA, and evaluates the therapeutic potential of targeting this pathway with small molecule inhibitors, natural compounds and biomolecules. By elucidating the mechanistic role of MAPK/ERK in RA, this article aims to highlight the pathway's therapeutic relevance and provide a foundation for the developing more effective, targeted therapies for RA.

摘要

类风湿性关节炎(RA)是一种多方面的自身免疫性疾病,其特征为慢性关节炎症,会导致进行性残疾,并对患者的生活质量产生重大影响。尽管治疗取得了进展,但找到治愈方法或预防疾病进展仍然是一项重大的临床挑战,这凸显了对新型治疗策略的迫切需求。在RA病理生理学涉及的各种途径中,丝裂原活化蛋白激酶/细胞外调节蛋白激酶(MAPK/ERK)途径尤为重要。作为更广泛的MAPK信号通路中的核心级联反应,MAPK/ERK在调节众多生理和病理过程中起着关键作用,并且在RA中有着既定且显著的参与。与p38 MAPK和c-Jun氨基末端激酶(JNK)不同,它们在RA中的作用已有充分记录,而MAPK/ERK途径对RA的具体贡献仍未得到全面综述。此外,MAPK/ERK途径并非孤立起作用,而是与其他主要途径协同相互作用,包括核因子κB(NF-κB)、Janus激酶-信号转导子和转录激活子(JAK/STAT)、音猬因子(SHH)以及磷脂酰肌醇-3-激酶/蛋白激酶B(PI3K/AKT),这进一步增强了其病理作用。本综述对MAPK/ERK信号通路进行了全面分析,重点关注其分子成分及其对RA病理生理学的贡献。此外,我们探讨了在RA背景下MAPK/ERK与其他途径之间的相互作用,并评估了用小分子抑制剂、天然化合物和生物分子靶向该途径的治疗潜力。通过阐明MAPK/ERK在RA中的机制作用本文旨在突出该途径的治疗相关性,并为开发更有效、针对性更强的RA治疗方法提供基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/575d/12269783/637d6f1a5484/peerj-13-19708-g001.jpg

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