Citrullinated collagens in the pathogenesis of rheumatoid arthritis
Juha Risteli1, Marja-Kaisa Koivula, Leila Risteli
1University of Oulu, Department of Clinical Chemistry, PL 5000, FI-90014 Oulun yliopisto, Finland. juha.risteli@oulu.fi
Abstract:
Citrulline formation through the deimination of arginine residues has recently been identified as an enzymatic post-translational modification of proteins that could be related to breaking the tolerance to self-antigens in the development of rheumatoid arthritis. Autoantibodies recognizing citrullinated peptides are highly specific indicators of early rheumatoid arthritis. However, current knowledge of the natural proteins that are citrullinated does not explain the main manifestations of the disease, that is, progressive damage to cartilage and bone - tissues rich in extracellular matrix. Several collagen types are present in the joint, where they provide the structural scaffold of the tissues. Recent findings indicate that both the ubiquitous Type I collagen and the cartilage-specific Type II collagen can be enzymatically citrullinated in vitro. Synthetic citrullinated peptides related to collagen sequences can be used as antigens. Autoantibodies to these citrullinated forms are found in patients with early rheumatoid arthritis. This review summarizes what is known regarding the occurrence of citrulline in a major class of extracellular matrix proteins, the fibrillar collagens and the significance of autoantibodies to citrulline in these proteins.
Insights
Citrullination, the modification of proteins, is linked to rheumatoid arthritis. Autoantibodies to citrullinated collagen, a key extracellular matrix protein, are found in early rheumatoid arthritis patients.
Area of Science:
- Biochemistry
- Immunology
- Rheumatology
Background:
- Citrullination is an enzymatic post-translational modification of arginine residues.
- Autoantibodies to citrullinated peptides are specific biomarkers for early rheumatoid arthritis.
- The role of citrullination in rheumatoid arthritis pathogenesis, particularly in cartilage and bone damage, remains unclear.
Purpose of the Study:
- To review the occurrence of citrulline in fibrillar collagens.
- To explore the significance of autoantibodies targeting citrullinated collagens in rheumatoid arthritis.
Main Methods:
- Literature review focusing on citrullination, collagen, and rheumatoid arthritis.
- Analysis of existing research on citrullinated extracellular matrix proteins.
Main Results:
- Fibrillar collagens, including Type I and Type II collagen, can be enzymatically citrullinated.
- Synthetic citrullinated collagen peptides can serve as antigens.
- Autoantibodies against citrullinated collagen forms are present in early rheumatoid arthritis patients.
Conclusions:
- Citrullination of fibrillar collagens is a significant factor in rheumatoid arthritis.
- Autoantibodies to citrullinated collagens may contribute to the disease's joint manifestations.
- Further research into citrullinated collagen's role is crucial for understanding rheumatoid arthritis.
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