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Fraktalkine – ein proinflammatorisches Chemokin bei rheumatoider Arthritis

Fractalkine – a proinflammatory chemokine in rheumatoid arthritis

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Zusammenfassung

Fraktalkine (CX3CL1), das bisher einzige bekannte Chemokin der CX3C-Klasse, und sein Rezeptor CX3CR1 werden in der chronisch entzündeten Synovialmembran von Patienten mit rheumatoider Arthritis (RA) verstärkt exprimiert. Durch die spezifische Bindung von Fraktalkine an seinen Rezeptor werden vielfältige proinflammatorische, an der Pathogenese der RA beteiligte Reaktionen vermittelt. Im Einzelnen sind dies die Induktion der synovialen Angiogenese, die Chemotaxis, die Aktivierung von Monozyten und T-Zellen sowie die Stimulation der Proliferation und die Synthese matrixdestruierender Enzyme (Matrix-Metalloproteinasen, MMP) in synovialen Fibroblasten. Fraktalkine könnte damit langfristig eine neue molekulare Zielstruktur für die Therapie der RA darstellen.

Abstract

Fractalkine (CX3CL1), so far the only member of the CX3C class of chemokines, and its receptor, CX3CR1, are strongly expressed in the chronically inflamed synovial tissue of patients with rheumatoid arthritis (RA). Due to the specific binding of Fractalkine to its receptor, many proinflammatory reactions involved in the pathogenesis of RA are triggered. Functionally, fractalkine plays an important proinflammatory role in RA pathogenesis as characterized by induction of synovial angiogenesis, chemotaxis, activation of monocytes and T cells as well as the stimulation of proliferation and synthesis of matrix degrading enzymes (matrix metalloproteinases, MMP) in synovial fibroblasts. Fractalkine thus may represent a novel target molecule for therapeutic intervention in RA.

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Blaschke, S., Müller, G. Fraktalkine – ein proinflammatorisches Chemokin bei rheumatoider Arthritis. Z. Rheumatol. 67, 424–428 (2008). https://doi.org/10.1007/s00393-008-0326-1

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