According to this article whats the role of TNF in Rheumatoid Arthritis. Expand on how the signaling pathway is disrupted in your answer.

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According to this article whats the role of TNF in Rheumatoid Arthritis. Expand on how the signaling pathway is disrupted in your answer.

**Article Title:**  
The role of TNF-α in rheumatoid arthritis: a focus on regulatory T cells

**Authors:**  
Mark Farrugia and Byron Baron

**Abstract:**  
Rheumatoid arthritis (RA) is an autoimmune disorder causing chronic inflammation and joint destruction. T cells, key in the synovial environment of RA, have an unclear functional role. The balance of regulatory T cells (T_regs) and T-effector cells in RA is not fully understood. Current treatments aim at controlling symptoms with Tumor Necrosis Factor alpha (TNF-α) inhibitors being pivotal. TNF-α's high levels affect T_reg functions. This article examines TNF-α's impact and treatment implications, focusing on immune system modulation at the synovial level.

**Relevance for Patients:**  
By understanding T_regs in RA and TNF-α's effects, patients may better understand treatment mechanisms involving various immune system areas.

**Keywords:**  
Rheumatoid arthritis, regulatory T cells, TNF-α therapy, joint inflammation

**1. Introduction:**  
RA manifests as chronic joint inflammation, leading to substantial morbidity and mortality. It involves synovial inflammation, hyperplasia, autoantibody production, and cartilage/bone destruction. Factors contributing to RA include genetic background, smoking, and environmental exposures.

**Pathophysiology:**  
A hyperplastic synovium loses its protective effect, leading to cartilage erosion. Cytokines like TNF-α and IL-1 facilitate this process. Studies reveal regional differences in RA prevalence across Europe. 

**Epidemiology:**  
RA prevalence ranges widely across Europe, with gradients observed between the North and South.

**Treatment:**  
Treatment strategies focus on symptom control and joint damage prevention. Common medications include NSAIDs, DMARDs, and TNF-α inhibitors.

**Figure 1 (Explanation):**  
Figure 1 would typically show a diagram or chart illustrating RA treatment drugs, possibly depicting mechanisms or pathways affected by these treatments.

**References:**  
- The document includes references supporting statistical data, regional prevalence rates, and treatment efficacy studies.

**Note:**  
This article aims to improve understanding of RA treatment, especially targeting the immune system at different levels.
Transcribed Image Text:**Article Title:** The role of TNF-α in rheumatoid arthritis: a focus on regulatory T cells **Authors:** Mark Farrugia and Byron Baron **Abstract:** Rheumatoid arthritis (RA) is an autoimmune disorder causing chronic inflammation and joint destruction. T cells, key in the synovial environment of RA, have an unclear functional role. The balance of regulatory T cells (T_regs) and T-effector cells in RA is not fully understood. Current treatments aim at controlling symptoms with Tumor Necrosis Factor alpha (TNF-α) inhibitors being pivotal. TNF-α's high levels affect T_reg functions. This article examines TNF-α's impact and treatment implications, focusing on immune system modulation at the synovial level. **Relevance for Patients:** By understanding T_regs in RA and TNF-α's effects, patients may better understand treatment mechanisms involving various immune system areas. **Keywords:** Rheumatoid arthritis, regulatory T cells, TNF-α therapy, joint inflammation **1. Introduction:** RA manifests as chronic joint inflammation, leading to substantial morbidity and mortality. It involves synovial inflammation, hyperplasia, autoantibody production, and cartilage/bone destruction. Factors contributing to RA include genetic background, smoking, and environmental exposures. **Pathophysiology:** A hyperplastic synovium loses its protective effect, leading to cartilage erosion. Cytokines like TNF-α and IL-1 facilitate this process. Studies reveal regional differences in RA prevalence across Europe. **Epidemiology:** RA prevalence ranges widely across Europe, with gradients observed between the North and South. **Treatment:** Treatment strategies focus on symptom control and joint damage prevention. Common medications include NSAIDs, DMARDs, and TNF-α inhibitors. **Figure 1 (Explanation):** Figure 1 would typically show a diagram or chart illustrating RA treatment drugs, possibly depicting mechanisms or pathways affected by these treatments. **References:** - The document includes references supporting statistical data, regional prevalence rates, and treatment efficacy studies. **Note:** This article aims to improve understanding of RA treatment, especially targeting the immune system at different levels.
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