JCR Japan College of Rheumatology-
有限責任中間法人 日本リウマチ学会
 
 

トップページ
バックナンバー
学会誌MR
NLリウマチ
メルマガ
旧和文誌
会員へのお知らせ
医療・医薬情報
リウマチ学会TV
住所・勤務先変更

MODERN RHEUMATOLOGY Vol.15 No.1

Vol.15 No.1 に戻る


REVIEW ARTICLE

Intracellular signal transduction pathways: good therapeutic targets for joint destruction in rheumatoid arthritis

Sakae Tanaka1

Full Text (PDF)

(1) Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan
Abstract Preventing joint destruction is one of the most challenging issues in treating patients with rheumatoid arthritis (RA), and I propose that intracellular signaling pathways in osteoclasts and synovial fibroblastic cells (SFCs) can be good therapeutic targets. Osteoclasts are primarily involved in the bone destruction in RA joints, and SFCs support osteoclast differentiation and activation by producing various proinflammatory cytokines including receptor activator of NF-κB ligand (RANKL), the osteoclast differentiation factor belonging to the tumor necrosis factor-α superfamily. Suppressing c-Src pathways by adenovirus vector-mediated C-terminal Src family kinase (Csk) gene or Ras/extracellular-regulating kinase (ERK) pathways by introducing dominant negative Ras (RasDN) adenovirus reduced osteoclastic bone resorption as well as the abnormal proliferation and interleukin-6 production of SFCs, and the local injection of these viruses ameliorated the joint destruction in adjuvant arthritis rats. Moreover, chondrogenic differentiation of SFCs could be induced by stimulating activin receptor-like kinase 3 pathways.

Key words Adenovirus - Osteoclast - Rheumatoid arthritis (RA) - Synovial fibroblast cells (SFCs)

 

Copyright Japan College of Rheumatology All rights reserved.