2008
DOI: 10.1007/s10165-008-0080-x
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The role of collagen antibodies in mediating arthritis

Abstract: This review examines evidence that rheumatoid arthritis (RA) depends on autoimmunity to articular collagen, and mechanisms whereby autoantibodies to type II collagen contribute to disease development. Three major autoantigenic reactants have been identified in RA; the corresponding autoantibodies are rheumatoid factor (RF), antibodies to citrullinated peptide antigens (ACPA), citrullinated peptides (anti-CCP), and anti-type II collagen (anti-CII). Both RF and ACPA are well-validated and predictive markers of s… Show more

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Cited by 49 publications
(33 citation statements)
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References 133 publications
(160 reference statements)
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“…Additionally, because collagen IX molecules are localized on the surface of collagen II-containing fibrils (26,27), their loss will render naked collagen II fibrils more accessible for MMPs, which can induce the cascade of events leading to arthritis (25). In the case of rheumatoid arthritis, a role of collagen II fragments in generating the autoimmune response is well established (28). Moreover, patients with recent onset rheumatoid arthritis have significantly elevated levels of autoantibodies to collagen IX (29), possibly indicating the antigenicity of degraded collagen IX fragments as well.…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, because collagen IX molecules are localized on the surface of collagen II-containing fibrils (26,27), their loss will render naked collagen II fibrils more accessible for MMPs, which can induce the cascade of events leading to arthritis (25). In the case of rheumatoid arthritis, a role of collagen II fragments in generating the autoimmune response is well established (28). Moreover, patients with recent onset rheumatoid arthritis have significantly elevated levels of autoantibodies to collagen IX (29), possibly indicating the antigenicity of degraded collagen IX fragments as well.…”
Section: Discussionmentioning
confidence: 99%
“…CII is the predominant cartilage collagen and a known autoantigen [23, 31, 32]. The human joint contains abundant CII and collagen-induced arthritis is the common experimental animal model of RA [33, 34].…”
Section: Introductionmentioning
confidence: 99%
“…The human joint contains abundant CII and collagen-induced arthritis is the common experimental animal model of RA [33, 34]. Thus, antibodies to CII should be of highest relevance in RA [32]. Nevertheless, antinative CII antibodies occur only in 3–27% of patients with RA [29, 3537] and, as such, it has been difficult to substantiate the role of autoimmunity to CII in the pathogenesis of RA.…”
Section: Introductionmentioning
confidence: 99%
“…In mouse models of arthritis, the synthesized immune complexes bind to “inflammatory” Fc-receptors on intra-articular cells and then activate complement protein (Rowley et al, 2008). Complement fragments bound to immune complexes induce tissue injury, and FcR stimulation cumulatively activates mononuclear cells in situ , causing the activated cells to release pro-inflammatory cytokines.…”
Section: Introductionmentioning
confidence: 99%