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group_2_presentation_2_-_juvenile_arthritis [2017/03/08 16:48]
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group_2_presentation_2_-_juvenile_arthritis [2018/01/25 15:18] (current)
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 JIA is considered a T-cell mediated disease in which CD4+ T cells exacerbate inflammation in rheumatoid joints. Majority of the CD4+ T cells in joints appear to be of the Th1 type, with memory and activation markers. T cells in joints increase in number by recruitment,​ resistance to apoptosis and accumulation. For this process, cytokines are of importance. JIA is considered a T-cell mediated disease in which CD4+ T cells exacerbate inflammation in rheumatoid joints. Majority of the CD4+ T cells in joints appear to be of the Th1 type, with memory and activation markers. T cells in joints increase in number by recruitment,​ resistance to apoptosis and accumulation. For this process, cytokines are of importance.
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-<box 60% round right |>​{{:​p4.png|}}</​box|Figure 8: Summary of the pathogenic pathways in JIA. Retrived from: https://​www.researchgate.net/​profile/​Abdullah_Nahian/​publication/​263585727/​figure/​fig1/​AS:​202832654409738@1425370481906/​Figure-illustrates-the-pathogenic-pathways-of-rheumatoid-arthritis-following-31-38.png>​ 
  
 Cytokines are protein messengers that transmit signals from one cell to another by binding to specific receptors on the surface of cells. Both pro- and anti-inflammatory cytokines, chemokines, and mitogenic factors are produced, but proinflammatory mediators predominate during the active phase of disease.Tumor necrosis factor alpha (TNFα)‎, IL-1, IL-6 and IL-17 are of key importance in the pathogenesis of inflammation in RA. IL-1 and TNFα‎ are also key players in the regulation of mediators of connective tissue damage by synoviocytes,​ including matrix metalloproteinases (MMPs) and prostaglandins (Nath Maini, 2010). Cytokines are protein messengers that transmit signals from one cell to another by binding to specific receptors on the surface of cells. Both pro- and anti-inflammatory cytokines, chemokines, and mitogenic factors are produced, but proinflammatory mediators predominate during the active phase of disease.Tumor necrosis factor alpha (TNFα)‎, IL-1, IL-6 and IL-17 are of key importance in the pathogenesis of inflammation in RA. IL-1 and TNFα‎ are also key players in the regulation of mediators of connective tissue damage by synoviocytes,​ including matrix metalloproteinases (MMPs) and prostaglandins (Nath Maini, 2010).
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 +<box 60% round right |>​{{:​p4.png|}}</​box|Figure 8: Summary of the pathogenic pathways in JIA. Retrived from: https://​www.researchgate.net/​profile/​Abdullah_Nahian/​publication/​263585727/​figure/​fig1/​AS:​202832654409738@1425370481906/​Figure-illustrates-the-pathogenic-pathways-of-rheumatoid-arthritis-following-31-38.png>​
  
 ACPAs may also bind to citrullinated proteins directly in the synovial membrane. Immune complexes between citrullinated proteins ,such as fibrinogen, and ACPA-igG can drive inflammation (including the production of IL-6 and tumor necrosis factor) by engaging both toll-like receptor (TLR4) and Fc receptors (Nath Maini, 2010). ACPAs may also bind to citrullinated proteins directly in the synovial membrane. Immune complexes between citrullinated proteins ,such as fibrinogen, and ACPA-igG can drive inflammation (including the production of IL-6 and tumor necrosis factor) by engaging both toll-like receptor (TLR4) and Fc receptors (Nath Maini, 2010).
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