Autoinflammatory & rare systemic diseases

Single‐Cell Profiling of Lymphoid and Myeloid Compartments Reveals Coordinated Immune Dysregulation and Enhanced Monocyte‐Centric Intercellular Communication in Relapsing Polychondritis

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

This study delineates a comprehensive, cell type-revolved atlas of peripheral immune dysregulation in RP, revealing coordinated alterations in T cell activation and redistribution, B cell differentiation, myeloid-driven inflammation, and prominent alarmin-related signatures.

Study context

Population
Peripheral blood mononuclear cells from patients with relapsing polychondritis (RP) and matched healthy controls
Participants
6 vs 5
Comparison
RP vs matched healthy controls
  • RPn = 6
  • Healthy controlsn = 5reference
Outcome
Peripheral immune landscape (scRNA-seq of PBMCs)
Methodological detailssingle-cell RNA sequencing, matched healthy controls
  • Single-cell RNA sequencing
  • Matched healthy controls

Main finding

As reported in the abstract

  • Significant reduction in circulating T cells in RP
  • Trend toward increased CD14+ monocytes, neutrophils and plasma cells
  • Within T cells: expansion of CD8+ subsets; depletion of FCER1G+ T, γδT and mucosal-associated invariant T cells
  • T-cell transcriptional programs indicating enhanced chemotaxis, activation, differentiation and interferon responses, with cytolytic ability in cytotoxic T subsets
  • B cells: activated phenotype, increased plasma cell differentiation potential and metabolic reprogramming
  • Myeloid cells: robust up-regulation of alarmins (S100A8/9/12) and proinflammatory pathways
  • CD14+ monocytes as dominant signalling hubs (annexin, MHC, resistin, chemokine ligand-receptor pairs), with enrichment of the ANXA1-FPR1 axis

Original publication

Single‐Cell Profiling of Lymphoid and Myeloid Compartments Reveals Coordinated Immune Dysregulation and Enhanced Monocyte‐Centric Intercellular Communication in Relapsing Polychondritis. Arthritis Rheumatol. Published 11 August 2026. doi:10.1002/art.70294

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