2016
DOI: 10.1136/annrheumdis-2015-208887
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Among human macrophages polarised to different phenotypes, the M-CSF-oriented cells present the highest pro-inflammatory response to the rheumatoid arthritis-specific immune complexes containing ACPA

Abstract: Despite their phenotypic similarity, IL-10-polarised and M-CSF-polarised macrophages clearly differ in their cytokine response to ACPA-IC. M-CSF-polarised cells exhibit the highest pro-inflammatory potential. Since M-CSF is abundant in the RA synovium, therein it probably drives macrophages towards a strong pro-inflammatory cytokine response to the locally formed ACPA-IC.

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Cited by 45 publications
(38 citation statements)
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“…had increased expression of CD64, when in fact the M2 had decreased expression. The increase in CD32 with the addition of IL-4 is in contrast to studies on macrophages derived from blood monocytes, which indicate that IL-10 but not IL-4 increases its expression [27].…”
Section: Thp-1 Macrophage Extracellular Marker Expression After Phenocontrasting
confidence: 85%
“…had increased expression of CD64, when in fact the M2 had decreased expression. The increase in CD32 with the addition of IL-4 is in contrast to studies on macrophages derived from blood monocytes, which indicate that IL-10 but not IL-4 increases its expression [27].…”
Section: Thp-1 Macrophage Extracellular Marker Expression After Phenocontrasting
confidence: 85%
“…However, studies by Tsuneyoshi et al [35] in human RA synovial tissue demonstrated mixed patterns of FRβ expression on ‘M1’ (‘pro-inflammatory’) and M2 macrophages. In this context it is also important to note that M2 macrophages in an RA environment with complex IgG autoantibodies and/or ACPA antibodies are triggered to produce pro-inflammatory cytokines [36, 37]. Thus, MTX targeting with respect to polarization of macrophages and the role of FRβ therein warrant further investigations.…”
Section: Discussionmentioning
confidence: 99%
“…Among pro-inflammatory cytokines, TNF-α is the master element of inflammation ( McInnes and Schett, 2011 ), and IL-6 and IL-1β are downstream mediators of TNF-α ( Zheng et al, 2014 ), which together play a critical role in mediating synovitis and joint destruction in RA ( Xin et al, 2014 ). Among activated immune cells in RA, macrophages, which produce TNF-α, IL-6 and IL-1β ( Zheng et al, 2014 ; Clavel et al, 2016 ) and tissue-degrading enzymes in the inflammatory infiltrate synovial sublining and at the pannus-cartilage interface ( Davignon et al, 2013 ; Yeo et al, 2016 ), are central players in the pathogenesis ( Szekanecz and Koch, 2007 ) and are an ideal target for the treatment of RA ( Davignon et al, 2013 ). Biologicals blocking TNF-α, IL-6 and IL-1 are currently used in clinic with therapeutic potential ( Smolen et al, 2014 ).…”
Section: Discussionmentioning
confidence: 99%
“…In RA, macrophages are the key effector cells in the acute and chronic phases by secreting pro-inflammatory cytokines and mediators that drive angiogenesis, infiltration by immune cells, and cartilage and bone destruction ( Clavel et al, 2016 ). Macrophage number increase in the inflamed synovium due to expansion of resident macrophages and infiltration by circulating monocytes ( Hamilton and Tak, 2009 ).…”
Section: Introductionmentioning
confidence: 99%