Intra-articular antigen-antibody reactions. 1987

H E Jasin
Department of Internal Medicine, University of Texas Health Science Center at Dallas, Southwestern Medical School.

The role of humoral immune mechanisms in the induction, maintenance, and modulation of chronic arthritis in the two main tissues of diarthrodial joints synovial membrane and cartilage is discussed. In the synovial membrane of patients with RA, the available data suggest that there is a selective enrichment of immunoglobulin-secreting cells with restricted specificities. However, it is likely that the B-lymphocyte lineages infiltrating the synovial membranes are not self supporting and autonomous but that they originate from precursors activated and released from the central lymphoid organs. The processes leading to irreversible destruction of articular cartilage in chronic arthritis are not well understood. A review of the possible pathogenic role of immunoglobulin and immune complexes tightly bound to the superficial layers of cartilage suggests that these contribute to the chronicity and severity of the inflammatory process. However, accurate evaluation of the relative importance of these mechanisms can only be attained when more information becomes available on the interplay between cellular and humoral immune mechanisms within the joint.

UI MeSH Term Description Entries
D007596 Joints Also known as articulations, these are points of connection between the ends of certain separate bones, or where the borders of other bones are juxtaposed. Joint
D002358 Cartilage, Articular A protective layer of firm, flexible cartilage over the articulating ends of bones. It provides a smooth surface for joint movement, protecting the ends of long bones from wear at points of contact. Articular Cartilage,Articular Cartilages,Cartilages, Articular
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000936 Antigen-Antibody Complex The complex formed by the binding of antigen and antibody molecules. The deposition of large antigen-antibody complexes leading to tissue damage causes IMMUNE COMPLEX DISEASES. Immune Complex,Antigen-Antibody Complexes,Immune Complexes,Antigen Antibody Complex,Antigen Antibody Complexes,Complex, Antigen-Antibody,Complex, Immune,Complexes, Antigen-Antibody,Complexes, Immune
D000937 Antigen-Antibody Reactions The processes triggered by interactions of ANTIBODIES with their ANTIGENS. Antigen Antibody Reactions,Antigen-Antibody Reaction,Reaction, Antigen-Antibody,Reactions, Antigen-Antibody
D001172 Arthritis, Rheumatoid A chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. Etiology is unknown, but autoimmune mechanisms have been implicated. Rheumatoid Arthritis
D012217 Rheumatoid Factor Autoantibodies found in adult RHEUMATOID ARTHRITIS patients that are directed against GAMMA-CHAIN IMMUNOGLOBULINS. Factor, Rheumatoid
D013583 Synovial Membrane The inner membrane of a joint capsule surrounding a freely movable joint. It is loosely attached to the external fibrous capsule and secretes SYNOVIAL FLUID. Synovium,Membrana Synovialis Capsulae Articularis,Membrane, Synovial,Membranes, Synovial,Synovial Membranes

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