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Research progress of osteoarticular involvement with brucellosis |
LIANG Chen1, WEI Wei2, LIANG Xiu-wen1, DE En-jin1, WANG Li-jun1 |
1. Hulunbeier People’s Hospital of, Hulunbuir 021008, China; 2. Hulunbeier Center for Disease Control and Prevention, Hulunbuir 021008, China |
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Abstract Osteoarticular brucellosis is the most common presentation of human disease in the world. There are three most common forms of osteoarticular involvement are peripheral arthritis, sacroiliitis, and spondylitis. Brucella abortus induces bone damage through diverse mechanisms in which TNF-a and RANKL modulator of bone homeostasis are involved. These processes are driven by inflammatory cells, like macrophages, neutrophils, Th17 CD4C T, and T cells. These bacteria inhibit bone matrix deposition by osteoblasts and modify the phenotype of those cells to produce matrix metalloproteinases (MMPs) and cytokine secretion, contributing to bone matrix degradation. Finally, the molecular mechanisms of osteoarticular brucellosis discovered that how the interaction between B. abortus and osteoarticular cells may play an important role in producing damage in joint and bone.
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Received: 30 March 2018
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Fund:Supported by the National Key Clinical Specialty Construction Project (No. 2011-470), the Inner Mongolia Autonomous Region Science and Technology Major Projects (No. 2060901), and the Hulunbuir Science and Technology Major Projects (No.2014-812) Liang Chen and Wei Wei contributed equally to the article. |
Corresponding Authors:
De en-jin, Email: hlbesdej@163.com
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