PMID- 31666997 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2095-4700 (Print) IS - 2095-6231 (Electronic) IS - 2095-4700 (Linking) VI - 7 DP - 2019 TI - Ankylosing spondylitis: etiology, pathogenesis, and treatments. PG - 22 LID - 10.1038/s41413-019-0057-8 [doi] LID - 22 AB - Ankylosing spondylitis (AS), a common type of spondyloarthropathy, is a chronic inflammatory autoimmune disease that mainly affects spine joints, causing severe, chronic pain; additionally, in more advanced cases, it can cause spine fusion. Significant progress in its pathophysiology and treatment has been achieved in the last decade. Immune cells and innate cytokines have been suggested to be crucial in the pathogenesis of AS, especially human leukocyte antigen (HLA)‑B27 and the interleukin‑23/17 axis. However, the pathogenesis of AS remains unclear. The current study reviewed the etiology and pathogenesis of AS, including genome-wide association studies and cytokine pathways. This study also summarized the current pharmaceutical and surgical treatment with a discussion of future potential therapies. CI - (c) The Author(s) 2019. FAU - Zhu, Wei AU - Zhu W AD - 1Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 100730 Beijing, China. ISNI: 0000 0001 0662 3178. GRID: grid.12527.33 FAU - He, Xuxia AU - He X AD - 2Department of Clinical Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, 100730 Beijing, China. ISNI: 0000 0001 0662 3178. GRID: grid.12527.33 FAU - Cheng, Kaiyuan AU - Cheng K AD - 1Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 100730 Beijing, China. ISNI: 0000 0001 0662 3178. GRID: grid.12527.33 FAU - Zhang, Linjie AU - Zhang L AD - 1Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 100730 Beijing, China. ISNI: 0000 0001 0662 3178. GRID: grid.12527.33 FAU - Chen, Di AU - Chen D AD - 3Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL 60612 USA. ISNI: 0000 0001 0705 3621. GRID: grid.240684.c FAU - Wang, Xiao AU - Wang X AUID- ORCID: 0000-0001-6395-706X AD - 4Department of Orthopedic Surgery, School of Medicine, Johns Hopkins University, Baltimore, MD USA. ISNI: 0000 0001 2171 9311. GRID: grid.21107.35 FAU - Qiu, Guixing AU - Qiu G AD - 1Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 100730 Beijing, China. ISNI: 0000 0001 0662 3178. GRID: grid.12527.33 FAU - Cao, Xu AU - Cao X AD - 4Department of Orthopedic Surgery, School of Medicine, Johns Hopkins University, Baltimore, MD USA. ISNI: 0000 0001 2171 9311. GRID: grid.21107.35 FAU - Weng, Xisheng AU - Weng X AD - 1Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 100730 Beijing, China. ISNI: 0000 0001 0662 3178. GRID: grid.12527.33 LA - eng PT - Journal Article DEP - 20190805 PL - China TA - Bone Res JT - Bone research JID - 101608652 PMC - PMC6804882 OTO - NOTNLM OT - Calcium and phosphate metabolic disorders OT - Pathogenesis COIS- Competing interestsThe authors declare no competing interests. EDAT- 2019/11/02 06:00 MHDA- 2019/11/02 06:01 PMCR- 2019/08/05 CRDT- 2019/11/01 06:00 PHST- 2018/12/27 00:00 [received] PHST- 2019/05/20 00:00 [revised] PHST- 2019/05/23 00:00 [accepted] PHST- 2019/11/01 06:00 [entrez] PHST- 2019/11/02 06:00 [pubmed] PHST- 2019/11/02 06:01 [medline] PHST- 2019/08/05 00:00 [pmc-release] AID - 57 [pii] AID - 10.1038/s41413-019-0057-8 [doi] PST - epublish SO - Bone Res. 2019 Aug 5;7:22. doi: 10.1038/s41413-019-0057-8. eCollection 2019.