2009
DOI: 10.1007/s11926-009-0051-z
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The role of Toll-like receptors in rheumatoid arthritis

Abstract: An increasing body of data supports the role of the innate immune system in the pathogenesis of rheumatoid arthritis (RA). Toll-like receptors (TLRs) are expressed by cells within the RA joint and a variety of endogenous TLR ligands are present within the inflamed joints of patients with RA. Further, a variety of animal models suggest that TLR signaling is important in the pathogenesis of disease. Overall, the data suggest that activation by endogenous TLR ligands may contribute to the persistent expression of… Show more

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Cited by 213 publications
(169 citation statements)
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References 51 publications
(73 reference statements)
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“…TLRs and IL-1R belong to the same IL-1R/TLR superfamily and are believed to play important roles in bacteria-mediated bone loss in diseases including periodontitis, rheumatoid arthritis, and osteomyelitis (14,18,42,(51)(52)(53)(54). Studies have shown that TLR ligands inhibit RANKL-induced osteoclast differentiation from un-committed osteoclast precursors (11,37,38,55), whereas IL-1 potentiates RANKL-induced osteoclast formation (21,56,57).…”
Section: Discussionmentioning
confidence: 99%
“…TLRs and IL-1R belong to the same IL-1R/TLR superfamily and are believed to play important roles in bacteria-mediated bone loss in diseases including periodontitis, rheumatoid arthritis, and osteomyelitis (14,18,42,(51)(52)(53)(54). Studies have shown that TLR ligands inhibit RANKL-induced osteoclast differentiation from un-committed osteoclast precursors (11,37,38,55), whereas IL-1 potentiates RANKL-induced osteoclast formation (21,56,57).…”
Section: Discussionmentioning
confidence: 99%
“…Endogenous ligands for TLR-2 and TLR-4 are found in RA joints. These include gp96, fibrinogen, Hsp60, Hsp70, hyaluronic acid, myeloid-related protein 8/14, and high mobility group box chromosomal protein 1 (26). Indeed, TLR inhibition by a dominant-negative form of the Toll/IL-1R domain containing adaptor protein molecules suppressed the spontaneous production of proinflammatory cytokines and MMPs from RSF (27).…”
Section: Inhibitory Effect Of Endogenous P16 Ink4a On Il-6 Productionmentioning
confidence: 99%
“…Identification of the mechanism whereby these cytokines are induced will not only help to understand the pathogenesis of these diseases but also provide a potential target for drug development. The association of aberrant Tolllike receptor (TLR) responses with these diseases (Lai and Gallo, 2008;Miller, 2008;Huang and Pope, 2009;Carrasco et al, 2011) and the fact that activation of certain TLRs induces TNF-a, IL-1b, and IL-6 production allow speculation that TLR signaling may play a role in disease initiation and/or progression.…”
Section: Introductionmentioning
confidence: 99%