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Rheumatoid Arthritis Lung Disease

Rheumatologists Find Molecular-Biology Signature of Lung Disease

February 1, 2005

In a new study, researchers found that "T" cells of the immune system are more abundant in patients with rheumatoid arthritis (RA) lung disease. Those extra cells make proteins that cause inflammation in lung tissue. Knowing the types of cells involved helps doctors distinguish RA lung disease from other diseases, and develop appropriate courses of treatment.

What is rheumatoid arthritis?

Science behind the news is funded by a generous grant from the NSF

Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation of the joints, as well as the surrounding tissue and other organs in the body. The immune system is designed to seek out and destroy foreign invaders to ward off infection and disease, but sometimes it targets the body's own tissues.

The immune system mistakenly releases cells called lymphocytes. These cells send chemical messengers to the joints, causing inflammation. The swelling and redness of the joint will prompt excess fluid to flow into the joint space, making motion painful. The inflamed cells also release an enzyme that can digest cartilage and bone.

So not only does the disease make tendons, ligaments and muscles in the joints hurt, but over time it can destroy cartilage, bone and ligaments, deforming the joint.

Having your joints fire up can also affect other organs in the body. For instance, the glands of the eyes and mouth can become inflamed, causing dryness, while inflammation around the heart can cause chest pain.

Nearly one-half of people who suffer from rheumatoid arthritis develop some abnormal lung function, and one-fourth develop full-fledged lung disease, where the air sacs of the lungs and their supporting structures become so damaged by inflammation that they become scarred, so that the lungs can't function effectively. More rarely, the blood vessels can become inflamed, impairing blood supply to tissues.

Scientists still don't know what causes rheumatoid arthritis, but many believe people inherent a tendency to develop the disease, which can be triggered by bacterial or viral infections or environmental factors such as fungi. Seven out of ten people who have rheumatoid arthritis also have an inherited chemical marker on their cells.

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Did you know?...

  • Rheumatoid arthritis affects about 2.1 million Americans -- roughly 1 percent of the U.S. population. It is three times more common in women as in men, but afflicts people of all races equally.
  • Scientists have recently reported that smoking tobacco increases the risk of developing rheumatoid arthritis.
    • More information on this story

      Martha J. Heil
      mheil@aip.org
      American Institute of Physics
      Tel: 301-209-3088


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