Volume 233, Issue 1 pp. 286-300

Transcriptional regulation of bone and joint remodeling by NFAT

Despina Sitara

Despina Sitara

Department of Infectious Diseases and Immunology,
Harvard School of Public Health, Boston, MA, USA.

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Antonios O. Aliprantis

Antonios O. Aliprantis

Department of Infectious Diseases and Immunology,
Harvard School of Public Health, Boston, MA, USA.

Division of Rheumatology, Allergy and Immunology,
Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Arthritis Center, Boston, MA, USA.

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First published: 23 December 2009
Citations: 105
Antonios O. Aliprantis
Harvard School of Public Health
651 Huntington Avenue, FXB 205
Boston, MA 02115, USA
Tel.: +1 617 432 4867
Fax: +1 617 432 0084
e-mail: [email protected]

Abstract

Summary: Osteoporosis and arthritis are highly prevalent diseases and a significant cause of morbidity and mortality worldwide. These diseases result from aberrant tissue remodeling leading to weak, fracture-prone bones or painful, dysfunctional joints. The nuclear factor of activated T cells (NFAT) transcription factor family controls diverse biologic processes in vertebrates. Here, we review the scientific evidence that links NFAT-regulated gene transcription to bone and joint pathology. A particular emphasis is placed on the role of NFATs in bone resorption and formation by osteoclasts and osteoblasts, respectively. In addition, emerging data that connect NFATs with cartilage biology, angiogenesis, nociception, and neurogenic inflammation are explored. The goal of this article is to highlight the importance of tissue remodeling in musculoskeletal disease and situate NFAT-driven cellular responses within this context to inspire future research endeavors.

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