Rheumatoid arthritis

Cytokine-induced PD-L1 and PD-L2 expression is preserved but reverse signalling is altered in rheumatoid arthritis fibroblast-like synoviocytes

Arthritis Res TherPublished Mechanistic study

Authors' conclusion

Cytokine-induced PD-L1 and PD-L2 expression is preserved in FLS from established RA but PD1-ligand signalling is altered, potentially contributing to the loss of immune regulation in RA.

Study context

Population
Primary fibroblast-like synoviocytes (FLS) cell lines from synovial tissue of patients with established rheumatoid arthritis (RA) or non-inflammatory (NI) controls
Comparison
RA-FLS vs NI-FLS
Outcome
PD-L1 and PD-L2 expression on FLS and PD1 reverse signalling
Methodological detailsin vitro, CRISPR/Cas9 knockout, total mRNA sequencing, analysis of publicly available RNA-sequencing datasets
  • In vitro
  • CRISPR/Cas9 knockout
  • Total mRNA sequencing
  • Analysis of publicly available RNA-sequencing datasets

Main finding

As reported in the abstract

TNF and IFNγ induced PD-L1 expression up to fourfold vs unstimulated FLS; IL-4 and TGF-β had no effect
fourfold
Soluble PD1-induced reverse signalling altered expression of threefold more genes in NI-FLS vs RA-FLS
threefold

Further findings

PD-L1 and PD-L2 expression by synovial pathotype (public RNA-seq datasets)

Early RA: significantly higher in lymphoid vs myeloid and fibroid pathotypes
Established RA: trend towards higher levels in FLS from lymphocyte-rich vs lymphocyte-poor tissue

Original publication

Cytokine-induced PD-L1 and PD-L2 expression is preserved but reverse signalling is altered in rheumatoid arthritis fibroblast-like synoviocytes. Arthritis Res Ther. Published 2 June 2026. doi:10.1186/s13075-026-03841-7

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