Журнал кардиореспираторных исследований 2026. №2/3
Тема статьи
Modern immunopathogenetic mechanisms of rheumatoid arthritis (67-71)
Авторы
M.S. Ravshanova, M.A. Eshbekov, Kh.I. Ibragimov, Sh.X. Ziyadullaev
Учреждение
Samarkand State Medical University
Аннотация
The immunological changes observed in RA provide crucial insights into the underlying mechanisms of disease development and progression. Autoantibodies, such as antibodies to rheumatoid factor (RF) and antibodies to cyclic citrullinated peptide (anti-CCP), play a key role in the pathogenesis of RA, contributing to inflammation and joint damage. Dysregulation of T cells, especially pro-inflammatory subpopulations, further contributes to the abnormal immune response seen in RA. Immunological changes observed in RA have important implications for prevention, early diagnosis, treatment and prognosis of the disease.
Ключевые слова
Rheumatoid arthritis, autoantibodies, pathogenesis, cytokines.
Литературы
1. Arkatkar T., Du S.W., Jacobs H.M., Dam E.M., Hou B., Buckner J.H., Rawlings D.J., Jackson S.W. B cell–derived IL-6 initiates spontaneous germinal center formation during systemic autoimmunity//Journal of Experimental Medicine, 2017, Vol. 214, No. 11, P. 3207-3217. 2. Bullock J., Rizvi S.A.A., Saleh A.M., Ahmed S.S., Do D.P., Ansari R.A., Ahmed J. Rheumatoid Arthritis: A Brief Overview of the Treatment//Medical Principles and Practice, 2018, Vol. 27, Rheumatoid Arthritis, No. 6, P. 501-507. 3. Chang M.H., Nigrovic P.A. Antibody-dependent and-independent mechanisms of inflammatory arthritis//JCI insight, 2019, Vol. 4, No. 5. 4. Derksen V., Huizinga T.W.J., Van Der Woude D. The role of autoantibodies in the pathophysiology of rheumatoid arthritis//Seminars in immunopathology. – Springer, 2017. – Vol. 39. – P. 437-446. 5. Ehrenstein M.R., Evans J.G., Singh A., Moore S., Warnes G., Isenberg D.A., Mauri C. Compromised Function of Regulatory T Cells in Rheumatoid Arthritis and Reversal by Anti-TNFα Therapy//The Journal of Experimental Medicine, 2004, Vol. 200, No. 3, P. 277-285. 6. Elemam N.M., Hannawi S., Maghazachi A.A. Role of Chemokines and Chemokine Receptors in Rheumatoid Arthritis//ImmunoTargets and Therapy, 2020, Vol. Volume 9, P. 43-56. 7. Farrugia M., Baron B. The role of TNF-α in rheumatoid arthritis: a focus on regulatory T cells//Journal of Clinical and Translational Research, 2016, Vol. 2, The role of TNF-α in rheumatoid arthritis, No. 3, P. 84-90. 8. Finckh A., Gilbert B., Hodkinson B., Bae S.-C., Thomas R., Deane K.D., Alpizar-Rodriguez D., Lauper K. Global epidemiology of rheumatoid arthritis//Nature Reviews Rheumatology, 2022, Vol. 18, No. 10, P. 591-602. 9. Guo Q., Wang Y., Xu D., Nossent J., Pavlos N.J., Xu J. Rheumatoid arthritis: pathological mechanisms and modern pharmacologic therapies//Bone research, 2018, Vol. 6, Rheumatoid arthritis, No. 1, P. 15. 10. Ingegnoli F., Castelli R., Gualtierotti R. Rheumatoid factors: clinical applications//Disease markers, 2013, Vol. 35, Rheumatoid factors, P. 727-734. 11. Karlson E.W., Deane K. Environmental and gene-environment interactions and risk of rheumatoid arthritis//Rheumatic Disease Clinics of North America, 2012, Vol. 38, No. 2, P. 405-426. 12. Kinne R.W., Bräuer R., Stuhlmüller B., Palombo-Kinne E., Burmester G.-R. [No title found]//Arthritis Research, 2000, Vol. 2, No. 3, P. 189. 13. Klak A., Raciborski F., Samel-Kowalik P. Social implications of rheumatic diseases//Reumatologia/Rheumatology, 2016, Vol. 54, No. 2, P. 73-78. 14. Kondo N., Kuroda T., Kobayashi D. Cytokine Networks in the Pathogenesis of Rheumatoid Arthritis//International Journal of Molecular Sciences, 2021, Vol. 22, No. 20, P. 10922. 15. Kotake S., Nanke Y., Yago T., Kawamoto M., Kobashigawa T., Yamanaka H. Ratio of circulating IFNγ+“Th17 cells” in memory Th cells is inversely correlated with the titer of anti-CCP antibodies in early-onset rheumatoid arthritis patients based on flow cytometry methods of the human immunology project//BioMed Research International, 2016, Vol. 2016. 16. Lee G.R. The balance of Th17 versus Treg cells in autoimmunity//International journal of molecular sciences, 2018, Vol. 19, No. 3, P. 730. 17. Liang Z., Wang N., Shang L., Wang Y., Feng M., Liu G., Gao C., Luo J. Evaluation of the immune feature of ACPA-negative rheumatoid arthritis and the clinical value of matrix metalloproteinase-3//Frontiers in Immunology, 2022, Vol. 13, P. 939265. 18. Malemud C.J. The role of the JAK/STAT signal pathway in rheumatoid arthritis//Therapeutic advances in musculoskeletal disease, 2018, Vol. 10, No. 5-6, P. 117-127. 19. Mellado M., Martinez-Munoz L., Cascio G., Lucas P., Pablos J.L., Rodríguez-Frade J.M. T cell migration in rheumatoid arthritis//Frontiers in immunology, 2015, Vol. 6, P. 384. 20. Moura R.A., Cascao R., Perpetuo I., Canhao H., Vieira-Sousa E., Mourao A.F., Rodrigues A.M., Polido-Pereira J., Queiroz M.V., Rosario H.S., Souto-Carneiro M.M., Graca L., Fonseca J.E. Cytokine pattern in very early rheumatoid arthritis favours B-cell activation and survival//Rheumatology, 2011, Vol. 50, No. 2, P. 278-282. 21. Rapetti L., Chavele K.-M., Evans C.M., Ehrenstein M.R. B cell resistance to Fas-mediated apoptosis contributes to their ineffective control by regulatory T cells in rheumatoid arthritis//Annals of the Rheumatic Diseases, 2015, Vol. 74, No. 1, P. 294-302. 22. Rasmussen T.K., Andersen T., Hvid M., Hetland M.L., Hørslev-Petersen K., Stengaard-Pedersen K., Holm C.K., Deleuran B. Increased interleukin 21 (IL-21) and IL-23 are associated with increased disease activity and with radiographic status in patients with early rheumatoid arthritis//The Journal of rheumatology, 2010, Vol. 37, No. 10, P. 2014-2020. 23. Romas E., Gillespie M.T., Martin T.J. Involvement of receptor activator of NFκB ligand and tumor necrosis factor-α in bone destruction in rheumatoid arthritis//Bone, 2002, Vol. 30, No. 2, P. 340-346. 24. Santiago-Schwarz F., Anand P., Liu S., Carsons S.E. Dendritic Cells (DCs) in Rheumatoid Arthritis (RA): Progenitor Cells and Soluble Factors Contained in RA Synovial Fluid Yield a Subset of Myeloid DCs That Preferentially Activate Th1 Inflammatory-Type Responses//The Journal of Immunology, 2001, Vol. 167, Dendritic Cells (DCs) in Rheumatoid Arthritis (RA), No. 3, P. 1758-1768. 25. Scott L.J. Tocilizumab: A Review in Rheumatoid Arthritis//Drugs, 2017, Vol. 77, Tocilizumab, No. 17, P. 1865-1879. 26. Sokolova M.V., Schett G., Steffen U. Autoantibodies in rheumatoid arthritis: historical background and novel findings//Clinical Reviews in Allergy & Immunology, 2022, Autoantibodies in rheumatoid arthritis, P. 1-14. 27. Tang C., Chen S., Qian H., Huang W. Interleukin‐23: as a drug target for autoimmune inflammatory diseases//Immunology, 2012, Vol. 135, Interleukin‐23, No. 2, P. 112-124. 28. Tran C.N., Lundy S.K., Fox D.A. Synovial biology and T cells in rheumatoid arthritis//Pathophysiology, 2005, Vol. 12, No. 3, P. 183- 189. 29. Van Drongelen V., Holoshitz J. Human leukocyte antigen–disease associations in rheumatoid arthritis//Rheumatic Disease Clinics, 2017, Vol. 43, No. 3, P. 363-376. 30. Wang T., Li C, Transcriptional Regulation of CD4+ T Cell Differentiation in Experimentally Induced Arthritis and Rheumatoid Arthritis//Arthritis & rheumatology, 2018, Vol. 70, No. 5, P. 653-661. 31. Wehr P., Purvis H., Law S.C., Thomas R. Dendritic cells, T cells and their interaction in rheumatoid arthritis//Clinical & Experimental Immunology, 2019, Vol. 196, No. 1, P. 12-27. 32. Wei S.-T., Sun Y.-H., Zong S.-H., Xiang Y.-B. Serum levels of IL-6 and TNF-α may correlate with activity and severity of rheumatoid arthritis//Medical science monitor: international medical journal of experimental and clinical research, 2015, Vol. 21, P. 4030. 33. Wu H., Su S., Wu Y., Wu Y., Zhang Z., Chen Q. Nanoparticle-facilitated delivery of BAFF-R siRNA for B cell intervention and rheumatoid arthritis therapy//International Immunopharmacology, 2020, Vol. 88, P. 106933. 34. Wu Q., Zhou X., Huang D., Ji Y., Kang F. IL-6 Enhances Osteocyte-Mediated Osteoclastogenesis by Promoting JAK2 and RANKL Activity In Vitro//Cellular Physiology and Biochemistry, 2017, Vol. 41, No. 4, P. 1360-1369. 35. Wysocki T., Olesińska M., Paradowska-Gorycka A. Current understanding of an emerging role of HLA-DRB1 gene in rheumatoid arthritis–from research to clinical practice//Cells, 2020, Vol. 9, No. 5, P. 1127. 36. Yap HY, Tee SZ, Wong MM, Chow SK, Peh SC, Teow SY. Pathogenic role of immune cells in rheumatoid arthritis: implications in clinical treatment and biomarker development. Cells. 2018 Oct 9;7(10):161.