Gout & crystal arthritis

Non-inflammatory macrophages phagocytose and hydrolyse monosodium urate crystals in different stages of gout

Scand J RheumatolPublished Mechanistic study

Authors' conclusion

The efficient phagocytosis and hydrolysis of MSU crystals by M0 macrophages suggest their role in maintaining the non-inflammatory stage of gout.

Study context

Population
Patients in different stages of gout (asymptomatic hyperuricaemia, intercritical, tophaceous) and normal controls; M0 macrophages derived from monocytes with macrophage colony-stimulating factor (M-CSF) for 10 days
Comparison
Non-inflammatory (M0) macrophages from patients with asymptomatic hyperuricaemia, intercritical gout, tophaceous gout vs normal controls
Outcome
Phagocytosis, hydrolysis and subsequent cytokine secretion of MSU crystals by M0 macrophages (flow cytometry, side-scatter area increase)
Methodological detailsin vitro, flow cytometry
  • In vitro
  • Flow cytometry

Main finding

As reported in the abstract

  • M0 macrophages phagocytosed and hydrolysed monosodium urate (MSU) crystals in various stages of gout, including the control group
  • Asymptomatic hyperuricaemia showed the most pronounced phagocytic and hydrolytic capabilities, surpassing normal controls
  • MSU alone did not induce pro-inflammatory cytokine secretion
  • With lipopolysaccharide (LPS) and/or MSU stimulation, phagocytic and hydrolytic abilities correlated with inflammatory cytokine elevation

Original publication

Non-inflammatory macrophages phagocytose and hydrolyse monosodium urate crystals in different stages of gout. Scand J Rheumatol. Published 8 May 2025. doi:10.1080/03009742.2025.2491176

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