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Role of reactive oxygen species in rheumatoid arthritis synovial T lymphocytes

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Role of reactive oxygen species in rheumatoid arthritis synovial T

lymphocytes

Remans, Philip Herman Jozef

Citation

Remans, P. H. J. (2006, September 12). Role of reactive oxygen species in rheumatoid

arthritis synovial T lymphocytes. Retrieved from https://hdl.handle.net/1887/4569

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in theInstitutional Repository of the University of Leiden Downloaded from: https://hdl.handle.net/1887/4569

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ROLE OF REACTIVE OXYGEN SPECIES

IN RHEUMATOID ARTHRITIS

SYNOVIAL T LYMPHOCYTES

PROEFSCHRIFT

TER VERKRIJGING VAN DE GRAAD VAN DOCTOR

AAN DE RIJKSUNIVERSITEIT TE LEIDEN,

OP GEZAG VAN DE RECTOR MAGNIFICUS DR. D.D. BREIMER,

HOOGLERAAR IN DE FACULTEIT DER WISKUNDE EN NATUURKUNDE,

VOLGENS BESLUIT VAN HET COLLEGE VOOR PROMOTIES

TE VERDEDIGEN OP DINSDAG 14 SEPTEMBER 2006

KLOKKE 16.00 UUR

DOOR

Philip Remans

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PROMOTIECOMMISSIE

Promotores: Prof. Dr. F.C. Breedveld

Prof. Dr. P.P. Tak (Amsterdam Medical Center)

Co-promotor: Dr. J.M. Van Laar

Referent: Prof. Dr. C.L. Verweij (VU University Medical Center)

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Contents

Chapter 1: General Introduction 7

1. Rheumatoid arthritis 2. Oxidative stress

2.1 Introduction 2.2 Chemistry of ROS

2.3 The production of free radicals in cells 2.3.1 Ligand induced ROS production 2.3.2 Cellular sources of ROS

2.3.3 Signalling pathways leading to ROS production in non phagocytic cells

2.3.4 Molecular Targets of ROS

2.3.5 Redox regulation of Transcription Factors 2.4 Conclusion

3. Oxidative stress in RA 4. Scope of this thesis

Chapter 2: Intracellular free radical production in synovial T lymphocytes of 31

patients with rheumatoid arthritis.

Chapter 3: Rap1 signaling is required for suppression of Ras-generated reactive 43 oxygen species and protection against oxidative stress in T lymphocytes.

Chapter 4: CTLA4Ig suppresses rheumatoid arthritis T Cell reactive oxygen 67 species production by preventing inactivation of Rap1

Chapter 5: Nutrient supplementation with polyunsaturated fatty acids and

micronutrients in rheumatoid arthritis: clinical and biochemical effects. Chapter 6: High dose intravenous N-acetyl-L-cysteine (NAC) therapy in

rheumatoid arthritis, results from a pilot study.

Chapter 7: General discussion and summary

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