A 38-year-old woman from Bangalore with a 3-year history of seropositive rheumatoid arthritis (RF and anti-CCP positive) presents with progressive joint destruction despite being on methotrexate monotherapy. Synovial biopsy is performed, and histopathology shows marked hyperplasia of the synovial lining layer with dense infiltration of CD4+ T cells and plasma cells, and prominent neovascularization. Which of the following cytokines is MOST critical in driving the perpetuation of synovial inflammation and osteoclastogenesis in this patient's synovium?
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