“…Rheumatoid arthritis affects small joints after that, larger joints, finally leading the tendons and ligaments weaken, and the cartilage and bone of joints are distortion and erosion which cause severe pain for a patient, and affects on heart, kidneys, lungs skin, and eyes 2 . Commonly autoimmune diseases are characterized by an excessive immune response and cause deterioration of specific or multiple tissues and organs 3 , and generally believed that cytokines implicated in each phase of the pathogenesis of RA, such as IL-18, IL-17, IL-16, IL-12, IL-10, IL-8, IL-7, IL-6, IL-1, IFN-gamma, etc 4 . Interleukin 36 is an inflammatory cytokine, a member of the IL1 family, composed of agonists IL36α, IL36β, IL36γ, antagonist IL-36 receptor IL36Ra and accessory protein (IL-1RAcP) 5 , chromosome 2 carries the genes of the IL-36 family 6 , expressed and act on the barrier sites of the body on a variety of cells including epithelial ( synoviocytes, keratinocytes, and skin, lung, and gut cells) and immune cells (T lymphocytes, antigen-presenting cells) 7 .…”