Autoimmune diseases are very interesting
to study because of the mechanisms that underlie their existence and how the
body mistakenly begins to fight itself. I chose to investigate the autoimmune
disease Rheumatoid arthritis because my father has been diagnosed with
Arthritis and I was interested in becoming knowledgeable of what could possibly
be going on the inside of my father’s body.
Rheumatoid Arthritis (RA) is an
autoimmune disease in which our immune system attacks its own joints, resulting
in inflammation on the inside (synovium) and bone deterioration. As the
synovium thickens this tends to cause swelling and pain which usually leads to
a loss of mobility. The joints at risk for RA include the hands, feet, wrists,
elbows, knees and ankles. Interestingly this disease usually affects joints symmetrically,
meaning that if one elbow becomes impaired it is very likely that the other
elbow will be affected as well. The etiology of RA is currently uncertain but
research has been able to detect many of the important immune components that
trigger the inflammation and bone resorption.
Some of the chemical mediators that
trigger inflammation in RA include kinins and vasoactive amines. Kinins are a
group of polypeptides that have the ability to stimulate smooth muscle,
increase vascular permeability, induce pain and possibly promote leukotaxis.
Histamine, a vasoactive amine is believed to have a major role in the
initiation of the inflammatory response in RA. It also encourages vasodilation
and vascular permeability. Lysosomes which are involved in the digestive and
lytic process of cells have been suggested to release their enzymes directly
into cell cytoplasm or surrounding tissue in RA, which injures the tissue and
triggers the inflammation response. If this action is prolonged it results in
the continuous production of autoantibodies because of the antigenic stimulation
by degraded host tissues.
Patients with RA have an increased number
of T cells, which is explained by the role they play in triggering
osteoclastogenesis. Osteoclstogenesis is the development of osteoclasts, which
are bone cells that are specialized to reabsorb calcified tissue. This is the
reason why patients with rheumatoid arthritis experience the pain they do,
because with time their bones start to become fragile due to the action of
these overstimulated osteoclasts. T cells express RANKL which is a member of
the TNF family of cytokines. RANKL induces osteocalstogensis from monocytes or
macrophages.

Wilder, Ronald L. "Immunopathogenesis of Rheumatoid Arthritis."
Clinical Immunology Newsletter 6.1 (1985): 1-5. Web
Panayi, G. S. "Developments in the Immunology of Rheumatoid Arthritis, a Personal Perspective."
Rheumatology 50.5 (2011): 815-17. Web.