Spondyloarthritis & psoriatic arthritis

Soluble programmed cell death-1 is increased in axial spondyloarthritis and present at the local site of pathology

Scand J RheumatolPublished Mechanistic study

Authors' conclusion

We suggest a dual role for the PD-1 pathway in the pathogenesis of axSpA, acting in the inflamed microenvironment, with sPD-1 being suggestive of continued low immune activation.

Study context

Population
Patients with long-standing axial spondyloarthritis (axSpA) and newly diagnosed patients undergoing 1 year of adalimumab; facet joint biopsies from axSpA patients undergoing surgery
Comparison
axSpA patients vs healthy controls

Main finding

As reported in the abstract

  • Plasma sPD-1 and sPD-L2 increased in both early and long-standing axSpA
  • sPD-1 and sPD-L2 unaffected by 1 year of adalimumab
  • sPD-1 and sPD-L2 levels did not correlate with disease activity scores or progression
  • PD-1 expression increased on synovial fluid mononuclear cells
  • PBMCs from axSpA patients produced more IL-17A than those from healthy controls when cultured with rhPD-1
  • PD-1 and CCR6 present in facet joint biopsies

Original publication

Soluble programmed cell death-1 is increased in axial spondyloarthritis and present at the local site of pathology. Scand J Rheumatol. Published 23 January 2026. doi:10.1080/03009742.2025.2599026

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