Mesenchymal stem cells from patients with rheumatoid arthritis display impaired function in inhibiting Th17 cells

Yue Sun1, Wei Deng1, Linyu Geng1

  • 1Department of Rheumatology and Immunology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, China.

Insights

Bone marrow mesenchymal stem cells (MSCs) from rheumatoid arthritis (RA) patients exhibit impaired function. RA MSCs show reduced ability to inhibit Th17 cell polarization, potentially contributing to RA pathogenesis.

Area of Science:

  • Immunology
  • Cell Biology
  • Rheumatology

Background:

  • Mesenchymal stem cells (MSCs) have immunomodulatory properties and are implicated in immune-related diseases.
  • Rheumatoid arthritis (RA) is an immune-related disease where MSC dysfunction may play a role.

Purpose of the Study:

  • To investigate the functional characteristics of bone marrow MSCs from RA patients.
  • To assess the immunomodulatory effects of RA MSCs on T cell subtypes and peripheral blood mononuclear cells (PBMCs).

Main Methods:

  • Comparison of proliferative and migratory capacities of MSCs from RA patients and healthy controls.
  • Analysis of cytokine profiles in RA and control MSCs.
  • Co-culture experiments to evaluate the effects of RA MSCs on PBMC proliferation and CD4(+) T cell polarization (Th17, Treg, Tfh).
  • Assessment of CCL2 expression in MSCs after co-culture.

Main Results:

  • RA MSCs demonstrated decreased proliferation and aberrant migration compared to controls.
  • No significant differences in cytokine profiles were observed between RA and control MSCs.
  • RA MSCs showed impaired ability to inhibit Th17 cell polarization, linked to reduced CCL2 expression, while other immunomodulatory functions (PBMC proliferation, Tfh, Treg) were comparable to controls.

Conclusions:

  • Bone marrow MSCs from RA patients exhibit functional defects, particularly in inhibiting Th17 cell polarization.
  • These impaired MSC functions may contribute to the pathogenesis of rheumatoid arthritis.
  • Targeting MSC dysfunction could be a potential therapeutic strategy for RA.