“…Several bone-affecting inflammatory cytokines such as TNF, IL-1, IL-6, IL-17, IL-22, IL-23 and IL-33, secreted by immune cells, synergistically act with RANKL and disrupt the balance of bone resorption and bone formation, leading to bone homeostasis disorders in bone loss diseases [ 7 , 8 , 9 , 10 ]. Interestingly, most of the above-mentioned cytokines are regulated by IL-20, one of the IL-20 subfamily cytokines that belongs to the IL-10 large family [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 ]. IL-20 is mainly produced by activated macrophages and skin cells [ 22 , 23 ].…”