FUNDAMENTALS

Dysfunction in Rheumatoid Arthritis
Rheumatoid arthritis (RA) is an autoimmune condition characterized by chronic inflammation occurring locally within the synovial joints and systemically. Accumulating evidence supports an important role of the sympathetic nervous system in the pathophysiology of RA, both as a cause and consequence of inflammation. Acute sympathetic activation results in a shift from a T-helper (Th) 1 to Th2 response to direct the immune response towards the synovial joint thereby limiting systemic...