Cytokines and Joint Injury

The purpose of this volume in the Progress in Inflammation Research series is to provide the biomedical and clinical researcher with a state-of-the-art insight in the role of cytokines in joint inflammation and joint destruction. This is of relevance for better understanding of key processes in diseases such as rheumatoid arthritis (RA) and osteoarthritis (OA). Apart from the impact of old and novel cytokines on joint tissues, the various chapters address the issue of targeted therapy with biological response modifiers and future interventions with carefully designed inhibitors. Spe cial attention is given to elements of synovial cell activation, cell-cell interaction, cytokine interplay as well as mechanisms of cartilage destruction and bone erosion. In addition to an outline of the role of established cytokines, such as TNF, IL-l and IL-6, new information is given on the novel cytokines IL-15, IL-17 and IL-18 and their positioning in the complex cytokine interplay. Cytokine regulation of destructive enzymes, RANKL, the endogenous inhibitor OPG and their crucial roles as central players in joint erosion are highlighted. Together, the chapters provide a complete and balanced view on pivotal cytokines and joint pathology.

The role of tumour necrosis factor in rheumatoid arthritis. - The IL-1 family: the role of IL-1 and IL-18 in inflammation. - Targeted IL-1 inhibition. - Is IL-6 a therapeutic target? . - The clinical use of anti-cytokine therapy in rheumatic diseases. - Innate response cytokines in inflammatory synovitis: interleukin-15 and interleukin-18. - IL-17 as a contributor to inflammation and destruction in rheumatoid arthritis. - Cell-cell contact in chronic inflammation: the importance to cytokine regulation in tissue destruction and repair. - The role of proteinases in joint tissue destruction. - Receptor activator of nuclear factor KB ligand (RANKL) versus osteoprotegerin (OPG): the yin and yang of joint integrity. - Cytokine regulation of bone destruction.