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The autoantigens in <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> are neither tissue nor organ\u2010specific, but comprise a broad collection of post\u2010translational modified proteins, such as citrullinated proteins. These modifications are likely to be triggered by innate stimuli. In genetically susceptible hosts, they can lead to a more substantiated secondary autoimmune reaction targeting the joints and precipitating the clinical onset of <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content>. Both innate and adaptive mechanisms will then closely interplay to promote chronic joint inflammation in the several absence of appropriate treatment. This scenario, is shared with other autoimmune diseases where potentially pathogenic immune responses are present already before disease onset. Better understanding of these processes will allow both earlier diagnosis of <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> and identification of those healthy individuals that are at risk of developing disease, opening possibilities for disease prevention. In this review, we discuss the iterative processes of innate and adaptive immunity responsible for the (longitudinal) development of immune reactions that may contribute to the development of <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/imr.12379","type":"journal-article","created":{"date-parts":[[2015,12,19]],"date-time":"2015-12-19T07:39:36Z","timestamp":1450510776000},"page":"162-174","source":"Crossref","is-referenced-by-count":146,"title":["Mechanisms involved in triggering rheumatoid arthritis"],"prefix":"10.1111","volume":"269","author":[{"given":"Anca I.","family":"Catrina","sequence":"first","affiliation":[{"name":"Rheumatology Unit Department of Medicine, Solna Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay","family":"Joshua","sequence":"additional","affiliation":[{"name":"Rheumatology Unit Department of Medicine, Solna Karolinska Institutet Stockholm 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