Medical Hypotheses
Volume 59, Issue 4 , Pages 411-415, October 2002

Rheumatoid arthritis is auto-immunoreaction to collagen II in cartilage happened in synovial tissue

  • Jicun Wang
  • ,
  • Xinping Liu
  • ,
  • Fuyang Li
  • ,
  • Libo Yao

      Affiliations

    • Corresponding Author InformationCorrespondence to: Libo Yao PhD, Department of Biochemistry and Molecular Biology, The Fourth Military Medical University, Xi'an, 710032 Shaanxi, China. Phone: 086-029-3374514; Fax: 086-029-3234516

Department of Biochemistry and Molecular Biology, The Fourth Military Medical University, Xi'an, Shaanxi, China

Received 3 September 2001; accepted 20 December 2001.

Abstract 

Rheumatoid arthritis is complex and not clear on the mechanism of pathogenesis. On the basis of analysis of the symptom and pathology of rheumatoid arthritis patients, we raised a new hypothesis. The content of the hypothesis is as follows: (A) Collagen II or collagen II-Iike substance in human cartilage is the cross-autoantigen of some infecting virus or bacteria because of the structure's similarity. (B) The inflammation in synovial tissue is auto-immunoreaction to collagen II in cartilage. (C) The proliferation and attachment of synovial tissue to the surface of cartilage is due to the chemotaxis of collagen II in cartilage for the immunocytes in synovial tissue. (D) The collagenase secreted from synovial cells and immunocytes are the direct elements in the destruction of cartilage. The fallen collagen II from cartilage is one of the most important inducer on the synovial cells and immunocytes for the production of collagenase.

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PII: S0306-9877(02)00143-3

Medical Hypotheses
Volume 59, Issue 4 , Pages 411-415, October 2002