2009
DOI: 10.1002/art.24406
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Absence of a classically activated macrophage cytokine signature in peripheral spondylarthritis, including psoriatic arthritis

Abstract: Objective. Peripheral spondylarthritis (SpA) is characterized by macrophages that express CD163, a marker of alternative activation (M2). The purpose of this study was to assess whether this differential infiltration with macrophage subsets was associated with a different local inflammatory milieu in SpA as compared with rheumatoid arthritis (RA).Methods Conclusion. The local inflammatory milieu is clearly different in SpA as compared with RA peripheral arthritis. Synovitis in SpA, including that in PsA, is ch… Show more

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Cited by 148 publications
(92 citation statements)
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“…This E2-potentiated M1 activation could contribute to the perpetuation of joint inflammation and tissue breakdown. The importance of M1 activation was previously revealed in a clinical study where the synovial fluid levels of M1-derived cytokines were well correlated with joint inflammation in RA (39). Therefore, the promotion and accumulation of M1 macrophages by estrogen in inflamed joints may be an important mechanism underlying the sex differences of TMD and RA.…”
Section: Discussionmentioning
confidence: 78%
“…This E2-potentiated M1 activation could contribute to the perpetuation of joint inflammation and tissue breakdown. The importance of M1 activation was previously revealed in a clinical study where the synovial fluid levels of M1-derived cytokines were well correlated with joint inflammation in RA (39). Therefore, the promotion and accumulation of M1 macrophages by estrogen in inflamed joints may be an important mechanism underlying the sex differences of TMD and RA.…”
Section: Discussionmentioning
confidence: 78%
“…Second, differences in spontaneous osteoclastogenesis appear to be related to the culture conditions, suggesting a critical role of extrinsic factors, rather than an intrinsic increase in osteoclast precursors, in the peripheral blood monocyte population (5,8). The extent to which the in vitro expression of these factors reflects the in vivo situation in the inflamed joint remains in question (16,17).…”
Section: Discussionmentioning
confidence: 99%
“…The cellular and molecular pathways responsible for the differences and commonalities between these two types of arthritis remain largely unknown. Based on a series of systematic synovial studies, we recently proposed that joint inflammation in SpA may be driven mainly by cells of the innate immune system, including specific macrophage subsets and granulocytes, whereas molecular pathways related to (auto)antigen-specific T and B lymphocyte activation predominate in RA synovitis (1)(2)(3)(4)(5)(6)(7)(8)(9)(10).…”
mentioning
confidence: 99%