Rheumatoid arthritis onset in postmenopausal women: Does the ACPA seropositive subset result from genetic effects, estrogen deficiency, skewed profile of CD4+ T-cells, and their interactions?
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文摘

Genetic risk alleles that interact with estrogenic factors underlie women’s RA susceptibility.

Infectious agents and smoking add complexity to this gene-estrogen interaction.

The biological mechanisms leading to RA may differ between pre- and post-menopausal women.

Postmenopausal RA is hypothesized to be characterized by seropositivity for ACPA.

Postmenopausal ACPA(+) RA results of skewed CD4+ T cell profile and derived cytokines.

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