细胞因子在类风湿性关节炎和骨破坏中的作用

古 文卓1, 李 克文2
1、青海大学
2、青海大学附属医院

摘要


类风湿性关节炎(RA)是一种慢性自身免疫性疾病,其主要特征是滑膜炎症和骨与软骨破坏,导致关节畸
形和功能丧失。本文综述了 IL-6、TNF-α以及基质金属蛋白酶(MMPs)在RA病理进程中的作用,并探讨了抗炎
细胞因子在控制炎症中的重要性。IL-6和TNF-α作为关键的促炎性细胞因子,显著促进破骨细胞的活化,加剧了
骨吸收和关节损伤,而MMPs则通过降解细胞外基质加速了软骨和骨组织的破坏。相反,抗炎性细胞因子如 IL-10、
IL-4和TGF-β在RA中的作用相对较弱,但对于调节免疫反应和抑制过度的炎症过程至关重要。本文进一步指出,
靶向抑制促炎因子的表达并增强抗炎因子的作用,可能为RA患者提供更加有效的治疗方案。未来研究应着重于平衡
促炎和抗炎因子的作用,以改善RA的治疗效果。

关键词


类风湿性关节炎;细胞因子;基质金属蛋白酶;抗炎治疗

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