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Pound the alarm: danger signals in rheumatic diseases
1*Musculoskeletal Research Group, Institute of Cellular Medicine, Newcastle Upon Tyne NE2 4HH, U.K.
Abstract:
Damage-associated molecular patterns (DAMPs) are chemically heterogeneous endogenous host molecules rapidly released from damaged or dying cells that incite a sterile inflammatory response mediated via pattern recognition receptors (PRRs). The sources of DAMPs are dead or dying cells or the extracellular matrix and can signal through the PRRs, the Toll-like receptors or cytosolic Nod-like receptors, culminating in nuclear factor κB (NF-κB) activation and pro-inflammatory cytokine secretion. Together, these molecules are involved in sterile inflammation and many are associated with rheumatic autoimmune diseases such as rheumatoid arthritis, systemic lupus erythromatosus, psoriatic arthritis and systemic sclerosis. These diseases are associated with inflammation and many danger signals are found in sites of sterile inflammation and mediate inflammation. The present review examines the role of DAMPs in rheumatic conditions and suggests avenues for their therapeutic modulation.
Insights
Damage-associated molecular patterns (DAMPs) signal sterile inflammation via pattern recognition receptors (PRRs). These molecules are implicated in rheumatic autoimmune diseases, suggesting therapeutic modulation targets.
Area of Science:
- Immunology
- Rheumatology
- Molecular Biology
Background:
- Damage-associated molecular patterns (DAMPs) are endogenous molecules released from stressed or dying cells.
- DAMPs initiate sterile inflammatory responses through pattern recognition receptors (PRRs), including Toll-like receptors and Nod-like receptors.
- These pathways culminate in NF-κB activation and pro-inflammatory cytokine release.
Purpose of the Study:
- To review the role of DAMPs in rheumatic autoimmune diseases.
- To explore the mechanisms by which DAMPs contribute to sterile inflammation in rheumatic conditions.
- To identify potential therapeutic strategies targeting DAMPs for rheumatic diseases.
Main Methods:
- Literature review of studies on DAMPs and rheumatic diseases.
- Analysis of molecular pathways involving DAMPs, PRRs, and inflammatory signaling.
- Synthesis of current understanding of DAMPs in rheumatoid arthritis, lupus, psoriatic arthritis, and systemic sclerosis.
Main Results:
- DAMPs are key mediators of sterile inflammation in rheumatic autoimmune diseases.
- Specific DAMPs and their signaling pathways are associated with disease pathogenesis.
- Evidence suggests DAMPs are present at sites of inflammation in rheumatic conditions.
Conclusions:
- DAMPs play a significant role in the pathogenesis of rheumatic autoimmune diseases.
- Targeting DAMPs and their signaling pathways offers a promising therapeutic avenue.
- Further research into DAMP modulation could lead to novel treatments for rheumatic conditions.
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