“…The release of VEGF and other growth factors enhances angiogenesis in inflamed synovial tissue, and thus elevated serum growth factor levels can serve as an indicator of RA severity. The fact that the AHR actively enhances IL1B, IL6, and VEGF secretion in RA-FLS, coupled with the fact that a recognized treatment for RA is an anti-IL6 receptor monoclonal antibody that lowers serum VEGF levels, suggests that using an AHR antagonist as a therapeutic treatment is worthy of further consideration (Lee et al, 2001;Nakahara et al, 2003;Roman et al, 2009;DiNatale et al, 2010b). High levels of cytokines and chemokines in synovial fluid transform FLS to undergo proliferation, forming a pannus tissue, which further secretes more cytokines and growth factors (Firestein, 1996).…”