Altered Bone Remodeling in Psoriatic Disease: New Insights and Future Directions.

Abstract:

:Psoriatic arthritis (PsA) is an inflammatory rheumatic disorder that occurs in patients with psoriasis and predominantly affects musculoskeletal structures, skin, and nails. The etiology of PsA is not well understood but evidence supports an interplay of genetic, immunologic, and environmental factors which promote pathological bone remodeling and joint damage in PsA. Localized and systemic bone loss due to increased activity of osteoclasts is well established in PsA based on animal models and translational studies. In contrast, the mechanisms responsible for pathological bone remodeling in PsA remain enigmatic although new candidate molecules and pathways have been identified. Recent reports have revealed novel findings related to bone erosion and pathologic bone formation in PsA. Many associated risk factors and contributing molecular mechanisms have also been identified. In this review, we discuss new developments in the field, point out unresolved questions regarding the pathogenetic origins of the wide array of bone phenotypes in PsA, and discuss new directions for investigation.

journal_name

Calcif Tissue Int

authors

Paine A,Ritchlin C

doi

10.1007/s00223-017-0380-2

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

559-574

issue

5

eissn

0171-967X

issn

1432-0827

pii

10.1007/s00223-017-0380-2

journal_volume

102

pub_type

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