2010
DOI: 10.1016/j.rdc.2010.03.003
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Bone Damage in Rheumatoid Arthritis: Mechanistic Insights and Approaches to Prevention

Abstract: SynopsisIn rheumatoid arthritis, cells within the inflamed synovium and pannus elaborate a variety of cytokines, including TNFα, IL-1, IL-6 and IL-17, that contribute to inflammation, and may directly impact bone. The RANKL/RANK/OPG pathway plays a critical role in regulating osteoclastogenesis in articular bone erosions in RA. Pro-inflammatory cytokines can modulate this pathway, and may also affect the ability of the osteoblast to repair bone at sites of articular erosion. In this review, we discuss the curr… Show more

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Cited by 171 publications
(153 citation statements)
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“…In bone marrow cultures from ovariectomized mice, the increased osteoclast formation could be prevented by 17␤-estradiol or by a neutralizing IL-6-antibody (28,29). It was also reported that IL-6 stimulates RANKL expression in osteoblasts (30), which induces osteoclastogenesis. On the other hand, it was shown that IL-6 inhibits RANKL-induced osteoclast formation and bone resorption (31).…”
Section: Discussionmentioning
confidence: 94%
“…In bone marrow cultures from ovariectomized mice, the increased osteoclast formation could be prevented by 17␤-estradiol or by a neutralizing IL-6-antibody (28,29). It was also reported that IL-6 stimulates RANKL expression in osteoblasts (30), which induces osteoclastogenesis. On the other hand, it was shown that IL-6 inhibits RANKL-induced osteoclast formation and bone resorption (31).…”
Section: Discussionmentioning
confidence: 94%
“…over bone formation (10,(13)(14)(15). IL-17 is a major cytokine driving osteoclastogenesis leading to bone resorption (8,12,26).…”
mentioning
confidence: 99%
“…Osteoclasts form where pannus tissue interfaces with periarticular bone and mediate bone erosions (reviewed in ref. 20). Data supporting this conclusion stem from studies where inflammatory arthritis was induced in rodents in either a genetically osteoclastdeficient background or concomitant with systemic administration of osteoprotegerin (OPG), a decoy receptor and inhibitor of RANKL (21)(22)(23).…”
Section: Inflammatory Arthritis -Dysregulation Of Bone Remodeling Ranmentioning
confidence: 99%