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Updated: Jul 6, 2025

Author Spotlight: Isolation and Culture of Primary Synovial Macrophages and Fibroblasts from Murine Arthritis Tissue
Published on: February 24, 2023
Synovial-tissue resident macrophages play proinflammatory functions in the pathogenesis of RA while maintaining the
Kazuhiro Kai1, Hisakata Yamada1,2, Ryosuke Tsurui1
1Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Abstract:
Synovial tissue-resident macrophages (STRMs) maintain normal joint homeostasis in a steady state. However, it is unclear whether STRMs still play homeostatic roles or change the functions in the joint of rheumatoid arthritis (RA), where infiltrating peripheral blood monocyte-derived macrophages (PBMoMs) play proinflammatory roles. In the present study, we examined changes in the phenotypes and functions of STRMs in response to RA-related stimuli in vitro. STRMs were prepared from non-inflammatory osteoarthritis (OA) joint synovium, which is histologically indistinguishable from normal joint synovium. PBMoMs were prepared and used for comparison. After stimulation with plate-bound IgG, which mimics anti-citrullinated protein antibody immunocomplex formed in RA joints, or with combinations of RA-related inflammatory mediators, namely tumor necrosis factor-α (TNF-α) and prostaglandin E2 or interferon-γ, PBMoMs downregulated surface markers and genes associated with anti-inflammatory macrophages, and upregulated cytokine and marker genes of proinflammatory macrophages in RA. On the other hand, STRMs hardly changed the expression of surface molecules and marker genes but altered the pattern of cytokine gene expression after stimulation like PBMoMs. Furthermore, in vitro stimulated STRMs promote proinflammatory functions of cocultured synovial fibroblasts. Thus, STRMs might play proinflammatory roles in RA joints, while maintaining their phenotypes in the steady state.
Insights
Synovial tissue-resident macrophages (STRMs) in rheumatoid arthritis (RA) joints may promote inflammation. While maintaining their steady-state phenotype, STRMs alter cytokine gene expression and enhance synovial fibroblast inflammatory functions in response to RA stimuli.
Area of Science:
- Immunology
- Rheumatology
- Cell Biology
Background:
- Synovial tissue-resident macrophages (STRMs) are crucial for maintaining joint homeostasis.
- In rheumatoid arthritis (RA), infiltrating peripheral blood monocyte-derived macrophages (PBMoMs) are known to play pro-inflammatory roles.
- The specific roles and functional changes of STRMs in the RA joint environment remain unclear.
Purpose of the Study:
- To investigate the phenotypic and functional alterations of STRMs in response to rheumatoid arthritis (RA)-associated stimuli in vitro.
- To compare the responses of STRMs with those of peripheral blood monocyte-derived macrophages (PBMoMs) under RA-related conditions.
Main Methods:
- STRMs were isolated from osteoarthritis (OA) synovium, and PBMoMs were prepared for comparison.
- Cells were stimulated with plate-bound IgG (mimicking RA immune complexes) or combinations of inflammatory mediators (TNF-α, PGE2, IFN-γ).
- Changes in surface marker and cytokine gene expression were analyzed, along with the impact on cocultured synovial fibroblasts.
Main Results:
- PBMoMs exhibited a clear shift towards a pro-inflammatory phenotype upon stimulation.
- STRMs showed minimal changes in surface molecule and marker gene expression but altered cytokine gene expression patterns, similar to PBMoMs.
- In vitro stimulated STRMs promoted pro-inflammatory functions in cocultured synovial fibroblasts.
Conclusions:
- STRMs may contribute to pro-inflammatory processes in RA joints.
- Despite RA-related stimuli, STRMs appear to largely maintain their characteristic steady-state phenotypes.
- STRMs' altered cytokine profiles and effects on synovial fibroblasts suggest a potential pro-inflammatory role in RA pathogenesis.
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