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Approximately 30% of synovial tissues (ST) derived from rheumatoid arthritis (RA) patients contain ectopic lymphoid neogenesis (ELN). NF-κB transcription factors can be activated via two distinct pathways. The non-canonical NF-κB pathway, with its key mediator NIK, may play an important role in ELN, as this pathway can be triggered by stimuli like CD40L and lymphotoxin that are abundantly present in ELN.

Preferential expression of NF-κB-inducing kinase (NIK) in blood vessels of rheumatoid arthritis synovial tissue containing ectopic lymphoid neogenesis