2005
DOI: 10.1136/ard.2005.042424
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Are fibroblasts involved in joint destruction?

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Cited by 56 publications
(55 citation statements)
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References 22 publications
(16 reference statements)
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“…In particular, the important role of macrophages and lymphocytes in this process has long been established (13,14). However, the synovial fibroblasts (SF) in the most superficial lining layer of the hyperplastic RA synovium and in direct contact to cartilage structures play a crucial role in joint damage and the propagation of inflammation (3,15,16). It could be shown that isolated RA-SF, implanted with normal human cartilage under the renal capsule of SCID mice, invade the implants; even in the absence of lymphocytes and macrophages, they behave like SF in a rheumatic joint (17).…”
Section: Discussionmentioning
confidence: 99%
“…In particular, the important role of macrophages and lymphocytes in this process has long been established (13,14). However, the synovial fibroblasts (SF) in the most superficial lining layer of the hyperplastic RA synovium and in direct contact to cartilage structures play a crucial role in joint damage and the propagation of inflammation (3,15,16). It could be shown that isolated RA-SF, implanted with normal human cartilage under the renal capsule of SCID mice, invade the implants; even in the absence of lymphocytes and macrophages, they behave like SF in a rheumatic joint (17).…”
Section: Discussionmentioning
confidence: 99%
“…The pathologic hallmark of RA is the formation of invasive pannus, the thickened layer of synovial tissue that erodes cartilage and bone. RA-FLSs intrinsically acquire an aggressive phenotype and become the spearhead of inflamed synovium mediating inflammation and destruction of the joint (2,29). They destroy bone and cartilage indirectly by releasing matrixdegrading enzymes, such as MMPs and cathepsins (30), and also directly invade adjacent structures even without the help of inflammatory cells (4,31).…”
Section: Discussionmentioning
confidence: 99%
“…RA synovial fibroblasts (RASF) are intrinsically activated and therefore invade into cartilage by excessive expression of matrix degrading enzymes such as matrix metalloproteinases (MMPs) MMP-1, 3, 9, 10 and 13 (3)(4)(5)(6)(7).…”
Section: Introductionmentioning
confidence: 99%