Rheumatoid arthritis

ITGA5+ synovial fibroblasts orchestrate proinflammatory niche formation by remodelling the local immune microenvironment in rheumatoid arthritis

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

We demonstrate that ITGA5+ synovial fibroblasts might regulate the RA progression by inducing the differentiation of CXCL13hiPD-1hi TPHs and remodelling the proinflammatory microenvironments.

Study context

Population
Synovial tissues of patients with OA, rheumatoid arthritis (RA) in sustained remission and active RA; PEAC and R4RA cohorts; Collagen-induced arthritis (CIA) mice
Comparison
OA vs RA in sustained remission vs active RA
Methodological detailssingle-cell and spatial transcriptomics, deconvolution validation in PEAC and R4RA cohorts, cell coculture, adoptive transfer in CIA mice
  • Single-cell and spatial transcriptomics
  • Deconvolution validation in PEAC and R4RA cohorts
  • Cell coculture
  • Adoptive transfer in CIA mice

Main finding

As reported in the abstract

  • Novel tissue-remodelling CD45-CD31-PDPN+ITGA5+ synovial fibroblast population identified, with unique transcriptome of POSTN, COL3A1, CCL5 and TGFB1, enriched in immunoregulatory pathways
  • Subset upregulated in active and lympho-myeloid type of RA, associated with increased risk of multidrug resistance
  • Transforming growth factor (TGF)-β1 might participate in the differentiation of this subset
  • ITGA5+ synovial fibroblasts might occur in early inflammation and induce differentiation of CXCL13hiPD-1hi TPHs from naïve CD4+ T cells by secreting TGF-β1
  • Intra-articular injection of ITGA5+ synovial fibroblasts exacerbates RA development and upregulates TPHs in CIA mice

Original publication

ITGA5+ synovial fibroblasts orchestrate proinflammatory niche formation by remodelling the local immune microenvironment in rheumatoid arthritis. Ann Rheum Dis. Published 2 January 2025. doi:10.1136/ard-2024-225778

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