Psychological stress and rheumatoid arthritis – interference of pathogenetic mechanisms

Author:

Tuaeva N. O.1,Nosyrev A. E.2,Renaudineau Y.3,Arleevskaya M. I.4

Affiliation:

1. Kazan State Medical Academy – Branch Campus of Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

2. I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

3. Kazan State Medical Academy – Branch Campus of Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia; Laboratory of Immunology and Immunotherapy, INSERM U1227, Hospital Morvan, Centre Hospitalier Regional Universitaire (CHU) de Brest

4. Kazan State Medical Academy – Branch Campus of Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia

Abstract

Molecular mechanisms of development of normal and pathological neuroendocrine and immune adaptive response to psychological (mental) stress are analyzed considering its possible provoking role in the development of rheumatoid arthritis (RA). A detailed analysis reveals the synergism of mechanisms that provoke the development of pathological anti-stress adaptive response and RA. It is possible that in persons at risk of developing RA minimal and unobtrusive for the individual stressful situations, periodically provoking prolonged production of pro-inflammatory cytokines, can, finally, lead to the development of rheumatic disease.

Publisher

Mediar Press

Subject

Immunology,Immunology and Allergy,Rheumatology

Reference60 articles.

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2. Arleevskaya M, Kravtsova O, Lemerle J, et al. How Rheumatoid Arthritis Can Result from Provocation of the Immune System by Microorganisms and Viruses. Frontiers in Microbiology. 2016; 7:1296. doi: 10.3389/fmicb.2016.01296

3. Gorizontov PD. Gomeostaz. Moskva: Meditsina; 1981. 576 s. [Gorizontov PD. Gomeostaz [Homeostasis]. Moscow: Meditsina; 1981. 576 p. (In Russ.)]

4. Korshunov NI, Grigor'eva EA, Kapustina LV, et al. The problems, mental disorders and quality of life of rheumatoid arthritis patients. Ter Arkh. 1991;63(8):100-4.

5. Hanly J, Fisk J, McCurdy G. Neuropsychiatric syndromes in patients with systemic lupus erythematosus and rheumatoid arthritis. J Rheumatol. 2005;32(8):1459-66.

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