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MODERN RHEUMATOLOGY Vol.15 No.4

Vol.15 No.4 に戻る

REVIEW ARTICLE

Osteoimmunological insight into bone damage in rheumatoid arthritis

Hiroshi Takayanagi1

(1) Department of Cell Signaling, Graduate School, Tokyo Medical and Dental University, , Center of Excellence (COE) Program for Frontier Research on Molecular Destruction and Reconstruction of Tooth and Bone, 1-5-45 Yushima, Bunkyo-ku, Tokyo113-8549, Japan

Received: 10March 2005 Accepted: 14 March 2005

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Abstract Research into the bone destruction associated with rheumatoid arthritis has highlighted the importance of the interplay of the immune and skeletal systems. Arthritic bone destruction is attributable to the defective control of osteoclastogenesis by T cells. We revealed that excessive expression of receptor activator of NF-κB ligand (RANKL) and a paucity of interferon-γ underlie the enhanced osteoclastogenesis in arthritis. The interdisciplinary research field called osteoimmunology has attracted further attention after identification of a number of unexpected bone phenotypes in mice lacking immunomodulatory molecules. Accumulating evidence suggests that the immune and skeletal systems share not only cytokines but also various signaling molecules, transcription factors, and membrane receptors. Thus, bone turns out to be a dynamic tissue that is constantly renewed, where the immune system participates to a hitherto unexpected extent. This emerging field will be of great importance for a better understanding and treatment of rheumatic diseases.

Key words Arthritis - Osteoclast - Osteoimmunology - Receptor activator of NF-κB ligand (RANKL) - Stat1

 
 
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