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Antibody-dependent and -independent mechanisms of inflammatory arthritis
Margaret H. Chang, Peter A. Nigrovic
Margaret H. Chang, Peter A. Nigrovic
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Antibody-dependent and -independent mechanisms of inflammatory arthritis

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Abstract

Inflammatory arthritis encompasses a set of common diseases characterized by immune-mediated attack on joint tissues. Most but not all affected patients manifest circulating autoantibodies. Decades of study in human and animal arthritis have identified key roles for autoantibodies in immune complexes and through direct modulation of articular biology. However, joint inflammation can arise because of pathogenic T cells and other pathways that are antibody-independent. Here we review the evidence for these parallel tracks, in animal models and in humans, to explore the range of mechanisms engaged in the pathophysiology of arthritis and to highlight opportunities for targeted therapeutic intervention.

Authors

Margaret H. Chang, Peter A. Nigrovic

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Figure 1

Intersection of murine arthritis models with the pathogenic sequence of inflammatory arthritis.

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Intersection of murine arthritis models with the pathogenic sequence of ...
Inflammation in murine arthritis can arise through immune dysfunction arising at a wide variety of levels, ranging from errant T and B cell–driven antigen targeting to overexpression of downstream inflammatory mediators. Autoimmunity can translate into arthritis via antibody-dependent pathways, typically through IgG and immune complexes (ICs), but also independent of autoantibodies through the action primarily of pathogenic T lymphocytes. Murine models (red-lined gray boxes) illustrating each respective mechanism are indicated. CAIA, collagen antibody–induced arthritis; FcR, Fcγ receptor; C′, complement; Cit, citrullinated peptide; OVA, ovalbumin; Nɸ, neutrophil; Mɸ, monocyte/macrophage; ILC, innate lymphocyte; mast, mast cell; hTNF-Tg, human TNF–transgenic. Modified from Monach et al. (184). Illustrated by Mao Miyamoto.

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