Rheumatoid arthritis

Macrophage requirements for abatacept response in rheumatoid arthritis

Clin Exp RheumatolPublished Mechanistic study

Authors' conclusion

ABA response in RA patients is associated with a particular pro-inflammatory macrophage phenotype pre-treatment and IDO is required for ABA effect.

Study context

Population
Rheumatoid arthritis (RA) patients treated with ABA; monocyte-derived macrophages from healthy donors (in vitro)
Comparison
ABA good responders vs non-responders; ABA vs no ABA
Outcome
Biomarkers of ABA response and involvement of IDO
Follow-up
6 months
Methodological detailsin vitro co-culture assay
  • In vitro co-culture assay

Main finding

As reported in the abstract

  • Pre-treatment frequency of CD16- CD64+ CD86high macrophages increased in ABA good responders vs non-responders
  • ABA seemed to increase IDO production
  • In vitro, ABA reduced proliferation of T cells activated by anti-CD3 and GM-CSF+LPS+IFN-γ macrophages
  • Inhibitory effect of ABA abolished by IDO blockade

Original publication

Macrophage requirements for abatacept response in rheumatoid arthritis. Clin Exp Rheumatol. Published 30 September 2024. doi:10.55563/clinexprheumatol/s42d3g

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