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Published on: May 16, 2025
Primer: signal transduction in rheumatic disease--a clinician's guide
Susan E Sweeney1, Gary S Firestein
1Division of Rheumatology, Allergy and Immunology, University of California San Diego, Department of Medicine, 9500 Gilman Drive, La Jolla, CA 92093-0656, USA. ssweeney@ucsd.edu
Abstract:
Signaling pathways enable cells to respond and adapt to environmental stimuli. For instance, extracellular ligands, such as proinflammatory cytokines or pathogen components, bind receptors on the surface of cells that trigger downstream signaling cascades driven by enzymes called kinases. Ultimately, kinases activate transcription factors that bind to DNA and alter the expression of target genes, the products of which allow the cell to respond to the initial stimulus. A variety of chronic inflammatory diseases are associated with altered cellular signaling. Some of the signal cascades that are involved in inflammation and autoimmunity include those mediated by mitogen-activated protein kinases, nuclear factor-kappaB, interferon regulatory factor and Toll-like receptors, NOD-like receptors and the inflammasome, and phosphatidylinositol-3-kinases. Understanding these intracellular pathways might lead to new approaches to the treatment of inflammatory disease, including the use of orally bioavailable small molecules that regulate cytokine function and production.
Insights
Cellular signaling pathways, involving kinases, regulate gene expression for cell adaptation. Understanding these pathways in chronic inflammatory diseases could lead to new treatments targeting cytokine production.
Area of Science:
- Cellular Biology
- Molecular Biology
- Immunology
Background:
- Cellular signaling pathways are crucial for responding to environmental stimuli.
- Kinases drive downstream signaling cascades initiated by extracellular ligands binding to cell surface receptors.
- Altered cellular signaling is implicated in various chronic inflammatory and autoimmune diseases.
Purpose of the Study:
- To explore the role of intracellular signaling pathways in cellular responses to stimuli.
- To identify key signaling cascades involved in inflammation and autoimmunity.
- To highlight the therapeutic potential of understanding these pathways for treating inflammatory diseases.
Main Methods:
- Review of established knowledge on cellular signaling mechanisms.
- Identification of key enzymes (kinases) and transcription factors involved in signaling cascades.
- Analysis of signaling pathways implicated in inflammatory and autoimmune conditions.
Main Results:
- Signaling pathways involve ligand-receptor interactions, kinase activation, and transcription factor modulation of gene expression.
- Specific pathways like MAPK, NF-κB, IRF, TLR, NLR, inflammasome, and PI3K are critical in inflammation.
- These pathways ultimately enable cells to adapt to stimuli.
Conclusions:
- Understanding intracellular signaling pathways is vital for comprehending inflammatory diseases.
- Targeting these pathways offers potential for novel therapeutic strategies.
- Orally bioavailable small molecules could be developed to regulate cytokine function and production for disease treatment.
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