2022
DOI: 10.3390/antiox11061153
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The Role of Reactive Oxygen Species in the Rheumatoid Arthritis-Associated Synovial Microenvironment

Abstract: Rheumatoid arthritis (RA) is an inflammatory disease that begins with a loss of tolerance to modified self-antigens and immune system abnormalities, eventually leading to synovitis and bone and cartilage degradation. Reactive oxygen species (ROS) are commonly used as destructive or modifying agents of cellular components or they act as signaling molecules in the immune system. During the development of RA, a hypoxic and inflammatory situation in the synovium maintains ROS generation, which can be sustained by … Show more

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Cited by 45 publications
(35 citation statements)
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References 216 publications
(234 reference statements)
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“…Epidemiologic, biologic, environmental, and genetic human studies, as well as animal models, have implicated oxidative stress in the pathogenesis of RA [125]. Consistent with that conclusion, impairments of antioxidative defense system [126], increased ROS formation, and oxidative damage to biomolecules have all been identified in serum and synovial fluids of RA patients [127,128] and in animal models [129]. Furthermore, biomarkers of oxidative stress have been found to correlate with higher disease activity [130], whereas interventions with products rich in antioxidants have produced disease amelioration [131][132][133].…”
Section: Reactive Intermediates Oxidative Stress and The Interplay Wi...mentioning
confidence: 58%
“…Epidemiologic, biologic, environmental, and genetic human studies, as well as animal models, have implicated oxidative stress in the pathogenesis of RA [125]. Consistent with that conclusion, impairments of antioxidative defense system [126], increased ROS formation, and oxidative damage to biomolecules have all been identified in serum and synovial fluids of RA patients [127,128] and in animal models [129]. Furthermore, biomarkers of oxidative stress have been found to correlate with higher disease activity [130], whereas interventions with products rich in antioxidants have produced disease amelioration [131][132][133].…”
Section: Reactive Intermediates Oxidative Stress and The Interplay Wi...mentioning
confidence: 58%
“…From a pathogenic perspective, the multifactoriality and polygenicity of OA recognize, in the exacerbation of oxidative stress and in the overproduction of ROS, an essential common denominator [ 80 ]. The increased production of ROS can damage joint structural biomolecules, and ROS, as an intracellular signaling component, is associated with the induction of numerous pro-inflammatory genes and inflammation-related events in OS, including the infiltration of inflammatory cells, angiogenesis, and osteophyte formation [ 81 , 82 ]. As a result, many efforts have been made to find therapeutics that intercept/reduce the formation of ROS.…”
Section: Discussionmentioning
confidence: 99%
“…RA is characterized by extensive infiltration of immune cells in the synovium, synovial hyperplasia, joint inflammation and excessive pro-inflammatory cytokine production. Oxidative stress caused by increased production of reactive oxygen species (ROS) and inflammatory cytokines contributes to the pathogenesis of RA (3)(4)(5).…”
Section: Introductionmentioning
confidence: 99%