Rheumatoid arthritis

Decreased GPR55 expression links B-cell activation and vascular remodelling in atherosclerosis in patients with early rheumatoid arthritis

RMD OpenPublished Mechanistic study

Authors' conclusion

Reduced GPR55 expression hallmarked B-cells and monocyte subsets in early RA. GPR55 expression was linked to B-cell activation-related pathways, presumably via T-cell independent mechanisms and vascular remodelling.

Study context

Population
Treatment-naïve patients with early rheumatoid arthritis (RA), individuals with arthralgia and controls
Participants
63 / 11 / 36
Comparison
Treatment-naïve RA vs arthralgia vs controls
  • RAn = 63
  • Arthralgian = 11
  • Controlsn = 36reference
Outcome
GPR55 expression in leucocyte populations and its potential role in atherosclerosis
Methodological detailscross-sectional, flow cytometry, in vitro cultures, Atherosclerosis assessed by Doppler US; cytokines by immunoassays; serum proteomics by high-throughput targeted panel
  • Cross-sectional
  • Flow cytometry
  • In vitro cultures
  • Atherosclerosis assessed by Doppler US; cytokines by immunoassays; serum proteomics by high-throughput targeted panel

Main finding

As reported in the abstract

GPR55 expression in leucocytes
  • Decreased GPR55 expression in B-cells and monocytes in RA
  • No differences in arthralgia
  • B-cell GPR55 expression unrelated to clinical features, risk factors and atherosclerosis in RA
  • GPR55 expression associated with proinflammatory cytokines, immunoglobulin and antibody levels, metabolomic inflammation markers and proteomic signatures of vascular remodelling and B-cell responses in RA; associations dependent on atherosclerosis status
  • LPS in vitro decreased B-cell GPR55 expression dose-dependently, overlapping increasing CB86 expression
  • Public datasets validated these findings

Original publication

Decreased GPR55 expression links B-cell activation and vascular remodelling in atherosclerosis in patients with early rheumatoid arthritis. RMD Open. Published 26 September 2025. doi:10.1136/rmdopen-2025-005820

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