“…Indeed, there was significant elevation of concentrations of serum pro-inflammatory cytokines (IL-1β, IL-6, IL-18, IL-17, IL-27) [2,33,34], and chemokines (CXCL8, CXCL9, CXCL10, and CCL5) [35]. In addition, anomalous activation of various signaling axes including various MAPK, AKT, NFkappaB, Bcl-2 family members, and JAK/STAT has been suggested to affect multiple molecular processes in RA [36], and these signaling pathways may involve in the aberrant production of sCTLA-4, sCD28 and sCD80 in RA patients.…”