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.

Immunological Medicine
|January 3, 2024
PubMed

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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