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Studies have shown that in the hypoxic microenvironment of RA, HIF-1 can promote the development of Th17 cells by activating RORt expression and inhibiting FoxP3 transcriptional activity, thereby inhibiting the differentiation of Treg cells and significantly biasing the Th17/Treg balance in a pro-inflammatory direction (101)

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1 Introduction Rheumatoid arthritis (RA) is an autoimmune disease characterized by synovial inflammation and pannus, bone, and cartilage damage

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