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Single cell imaging reveals abnormal intracellular calcium signals within rheumatoid synovial neutrophils

E V Davies1, A K Campbell, B D Williams

  • 1Department of Surgery, University of Wales College of Medicine, Cardiff.

Insights

Rheumatoid arthritis (RA) synovial fluid neutrophils exhibit altered calcium (Ca2+) signaling compared to blood neutrophils. This primed signaling may contribute to the exaggerated inflammatory response in RA joints.

Area of Science:

  • Immunology
  • Cell Biology
  • Rheumatology

Background:

  • Rheumatoid arthritis (RA) is characterized by chronic inflammation in the joints.
  • Polymorphonuclear leucocytes (PMN) play a role in RA pathogenesis.
  • Aberrant intracellular calcium (Ca2+) signaling is implicated in inflammatory cell function.

Purpose of the Study:

  • To compare intracellular Ca2+ signaling in synovial fluid (SF) PMN from RA patients with circulating blood PMN from both RA patients and healthy individuals.
  • To investigate the impact of F-Met-Leu-Phe (FMLP) stimulation on Ca2+ release in different PMN populations.

Main Methods:

  • Single-cell imaging techniques were employed to visualize Ca2+ signaling.
  • PMN were isolated from synovial fluid and peripheral blood of RA patients and healthy controls.
  • Cells were stimulated with FMLP to assess intracellular Ca2+ release dynamics.

Main Results:

  • RA SF PMN demonstrated a distinct Ca2+ release pattern upon FMLP stimulation, characterized by a dispersed 'cloud' in 60% of cells, unlike the localized release in normal blood PMN (30%).
  • Heterogeneity in the timing and magnitude of cytosolic free Ca2+ signaling was observed in both RA SF and normal blood PMN when extracellular Ca2+ was present.
  • RA blood PMN also showed altered Ca2+ signaling compared to normal blood PMN, suggesting a systemic priming effect.

Conclusions:

  • Intracellular Ca2+ signaling in RA SF PMN is significantly altered, indicating a primed state.
  • This altered Ca2+ signaling mechanism in RA SF and RA blood PMN may enhance the release of inflammatory mediators.
  • The findings suggest a potential mechanism for the aberrant behavior of SF PMN in RA, contributing to joint inflammation.

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