| REVIEW ARTICLE The
epigenetic alteration of synovial cell gene expression
in rheumatoid arthritis and the roles of nuclear factor
kappa B and Notch signaling pathways
Takashi Okamoto1
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Department of Molecular
and Cellular Biology, Nagoya City University Graduate
School of Medical Science, 1 Kawasumi, Mizuho-cho,
Mizuho-ku, Nagoya 467-8601, Japan |
Abstract Rheumatoid
arthritis (RA) is a complex process of chronic and progressive
inflammation associated with activation of numerous
signaling molecules and transcription factors and hyperproliferation
of synoviocytes of the affected joints, although the
greater part of its pathophysiological process is explained
by activation of nuclear factor kappa B (NF-kappa B).
For example, the self-perpetuating nature of the rheumatoid
inflammation is ascribable to overexpression of the
proinflammatory cytokines tumor necrosis factor alpha
and interleukin-1 beta, known to elicit the activation
cascade for NF-kappa B and activator protein-1 that
are responsible for transcriptional induction of these
cytokines among other target genes, which conform a
positive feedback loop for continuation and expansion
of the inflammatory responses. In addition, comparative
gene expression profile analyses have revealed activation
of a number of genes that explain the "transformed-like"
phenotype of synoviocytes. Among the genes expressed
in rheumatoid synoviocytes upon inflammatory stimuli,
induction of gene expression of Notch proteins and its
ligand have been found. Possible roles of Notch signaling
in RA synoviocytes are discussed.
Key words Notch - Nuclear
factor kappa B (NF-kappa B) - Rheumatoid arthritis
(RA) - Signal transduction - Synoviocyte |