Systemic sclerosis & Raynaud's

Elevated Fcy receptor expression augments pro-inflammatory macrophage phagocytosis in systemic sclerosis and associated rheumatic diseases

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

This study highlights FcγR-expressing macrophages as drivers of phagocytosis and inflammatory responses in SSc.

Study context

Population
Skin and lung macrophages (Single-cell RNA sequencing (scRNA-seq) datasets) and monocyte-derived macrophages from healthy controls (HC) and patients with SSc, RA, PsA and axSpA
Comparison
Macrophages from SSc, RA, PsA and axSpA patients vs HC; nintedanib pretreatment
Outcome
Macrophage phagocytic phenotype
Methodological detailsscRNA-seq dataset analysis, in vitro hMDM experiments
  • scRNA-seq dataset analysis
  • In vitro hMDM experiments

Main finding

As reported in the abstract

  • Pro-phagocytic signature in SSc-affected organs on scRNA-seq
  • SSc macrophages, particularly FCGR3Ahi skin cluster: elevated FCGR gene expression and enriched FcγR-mediated phagocytosis pathways, with pro-inflammatory markers
  • Phenotype extended to FCN1hi lung macrophages in SSc with ILD
  • Human monocyte-derived macrophages (hMDMs) from SSc, RA and PsA patients: enhanced phagocytic activity in vitro
  • Elevated FcγRI and FcγRII levels identified as key drivers of increased phagocytosis and subsequent IL-6-driven inflammation
  • Nintedanib (0.1 μM) reduced FcγRI expression

Original publication

Elevated Fcy receptor expression augments pro-inflammatory macrophage phagocytosis in systemic sclerosis and associated rheumatic diseases. Rheumatology (Oxford). Published 13 December 2024. doi:10.1093/rheumatology/keae688

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