腎と骨代謝 Vol.16 No.1(3)


特集名 リウマチ疾患の骨病変
題名 滑膜炎と分化異常
発刊年月 2003年 01月
著者 瀬戸 宏明 東京大学医学部整形外科
著者 田中 栄 東京大学医学部整形外科
著者 黒澤 尚 順天堂大学医学部整形外科
著者 中村 耕三 東京大学医学部整形外科
【 要旨 】 滑膜は関節の内面を被覆し,関節液を分泌することにより関節運動を円滑にする.しかしいったん炎症が生じると,多彩な病態の首座となり,組織破壊の中心となることも報告されている.また一方で最近になり,滑膜線維芽細胞を用いた骨・軟骨分化誘導の可能性について報告されている.本稿ではおもに関節リウマチ(rheumatoid arthritis;RA)の滑膜炎と各種の分化誘導,異常について述べる.
Theme Bone disorders in rheumatic diseases
Title Inflammation of synovium and differentiation potential
Author Hiroaki Seto Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo
Author Sakae Tanaka Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo
Author Hisashi Kurosawa Department of Orthopaedic Surgery, Juntendo University
Author Kozo Nakamura Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo
[ Summary ] Synovial tissues play important roles in smooth movement of diarthrodial joints, and they are mainly involved in the inflammatory diseases such as rheumatoid arthritis. It has been shown that proinflammatory cytokines such as interleukin-1 (IL-1) and tumor necrosis factor-α (TNF-α) as well as osteoclast differentiation factor, RANKL, are produced by synovial cells in such pathological conditions, and are implicated in the bone and joint destruction. Recent studies have also revealed that synovial tissues include multipotent mesenchymal stem cells, which can differentiate into osteocytes, chondrocytes, adipocytes, and myotubes. These results suggest that not only are synovial cells a good therapeutic target of inflammatory joint diseases, but also can be utilized for tissue engineering of bone and cartilage.
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