2002
DOI: 10.1093/rheumatology/41.11.1232
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Osteoclast formation and activity in the pathogenesis of osteoporosis in rheumatoid arthritis

Abstract: There is an increase in the extent of lacunar resorption carried out by osteoclasts formed from circulating precursors in RA patients. This is not due to an increase in the number of circulating precursors or increased sensitivity to the osteoclastogenic effects of 1,25(OH)(2)D(3), M-CSF, RANKL or inflammatory cytokines. Our findings suggest that increased osteoclast functional activity rather than osteoclast formation is more likely to play a role in the generalized bone loss that occurs in RA, and that corti… Show more

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Cited by 112 publications
(88 citation statements)
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“…Increased osteoclast activity is seen in many osteopenic disorders, including postmenopausal osteoporosis [1,2], Paget's disease [3,4], bone metastases [5,6], periodontitis [7,8], and rheumatoid arthritis [9,10]. Mature osteoclasts are giant, multinucleated cells that synthesize and directionally secrete bone matrix-degrading enzymes, including cathepsin K, matrix metalloproteinase-9 (MMP9), and tartrate-resistant acid phosphatase (TRAP).…”
Section: Introductionmentioning
confidence: 99%
“…Increased osteoclast activity is seen in many osteopenic disorders, including postmenopausal osteoporosis [1,2], Paget's disease [3,4], bone metastases [5,6], periodontitis [7,8], and rheumatoid arthritis [9,10]. Mature osteoclasts are giant, multinucleated cells that synthesize and directionally secrete bone matrix-degrading enzymes, including cathepsin K, matrix metalloproteinase-9 (MMP9), and tartrate-resistant acid phosphatase (TRAP).…”
Section: Introductionmentioning
confidence: 99%
“…BMD loss in RA is primarily thought to be the effect of increased osteoclast activity (8) and to a lesser extent the effect of impairment of bone formation by osteoblasts (9). With high disease activity, levels of inflammatory media-tors such as tumor necrosis factor ␣ (TNF␣), interleukin-1 (IL-1), IL-6, and IL-17 are high (10 -18).…”
Section: Introductionmentioning
confidence: 99%
“…3 Bone erosion causes distal diaphysis of tibia and tarsal bones located near ankle joints with severe arthritis, suggesting that infiltration of inflammatory cells into adjacent bone tissues triggers extensive osteoclastogenesis. 4 How-ever, only limited information has so far been available concerning the recruitment of abundant osteoclasts in the site of severe bone destruction. Osteoclastogenesis occurs in the bone marrow cavity from the hematopoietic stem cells present in the bone marrow.…”
mentioning
confidence: 99%
“…5 Excessive osteoclastogenesis induced by these cytokines often triggers pathological bone destruction at particular bone sites. 4 Receptor activator nuclear factor k B ligand (RANKL), believed to be the most important cytokine for normal osteoclastogenesis, is also involved in inflammatory bone resorption. 6 In addition to cytokines being involved in osteoclastogenesis, an involvement of factors bearing the ability of chemotaxis against cells in the osteoclast lineage should be considered.…”
mentioning
confidence: 99%