The effect of geranylgeranylacetone on human osteoclastogenesis and synovitis in patients with rheumatoid arthritis

  • Nanke Yuki
    Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan
  • Kotake Shigeru
    Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan
  • Kamatani Naoyuki
    Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan

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Rheumatoid arthritis (RA) is a chronic inflammatory disease associated with synovitis and bone destruction. The levels of monocyte/macrophage-derived cytokines, including TNFα, interleukin-1 (IL-1), and IL-6, and the T cell-derived cytokine, IL-17, all of which are involved in the pathogenesis of RA, are elevated in the synovial fluid of RA patients.<BR>Geranylgeranylacetone (GGA), an acyclic polyisoprenoid known as teprenone, has been widely used as an antiulcer drug. We have reported that GGA inhibits human osteoclastgenesis, and that GGA increases the bone mineral density in ovariectomized rats and tail-suspended rats. These effects are due to inhibiting the prenylation of geranylgeranylpyrophosphate (GGPP) by GGA in the mevalonate pathway. Recently, we also demonstrated that GGA induces cell death in fibroblast-like synoviocytes from patients with RA. These findings suggest that GGA may be available as a new agent for RA and osteoporosis.

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