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2017 ; 6
(9
): ä Nephropedia Template TP
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IL-23 and Th17 Disease in Inflammatory Arthritis
#MMPMID28850053
Yago T
; Nanke Y
; Kawamoto M
; Kobashigawa T
; Yamanaka H
; Kotake S
J Clin Med
2017[Aug]; 6
(9
): ä PMID28850053
show ga
IL-23, which is composed of p19 and p40 subunits, is a proinflammatory cytokine
that contributes to the formation and maintenance of Th17 cells in inflammatory
autoimmune diseases. IL-23 is a human osteoclastogenic cytokine and anti-IL-23
antibody attenuates paw volume and joint destruction in CIA rats. IL-23 levels in
serum and synovial fluid are high in rheumatoid arthritis (RA) patients, and
IL-23 may be a useful biomarker for the diagnosis of RA. In addition, IL-23
affects the pathogenesis of inflammation and bone destruction through interaction
with other cytokines such as IL-17 and TNF-?. Furthermore, polymorphisms of IL23R
are a risk factor for ankylosing spondylitis (AS) and psoriatic arthritis (PsA),
which indicates that IL-23 is also involved in the pathogenesis of
spondyloarthritis (SpA). Finally, IL-17 and IL-23 inhibitors reduce the clinical
manifestations of SpA. Thus, the IL-23/Th17 pathway is a therapeutic target for
the treatment of inflammatory arthritis.