Gout & crystal arthritis

Transforming growth factor (TGF)-β is elevated in hyperuricemic individuals and mediates urate-induced hyperinflammatory phenotype in human mononuclear cells

Arthritis Res TherPublished Mechanistic study

Authors' conclusion

TGF-β is elevated in individuals with hyperuricemia and correlated to serum urate concentrations. In addition, the urate-induced pro-inflammatory phenotype in human monocytes is mediated by TGF-β signalling.

Study context

Population
Individuals with normouricemia, hyperuricemia and gout; Peripheral blood mononuclear cells (PBMCs) of healthy volunteers for in vitro experiments
Comparison
Normouricemia vs hyperuricemia vs gout; urate-exposed PBMCs with and without TGF-β blockade
Outcome
TGF-β levels and urate-induced inflammation
Methodological detailsin vitro validation, inhibitors of TGF-β signalling
  • In vitro validation
  • Inhibitors of TGF-β signalling

Main finding

As reported in the abstract

  • TGF-β mRNA elevated in gout patients vs healthy controls
  • Serum TGF-β-LAP significantly higher in hyperuricemia vs controls
  • TGF-β correlated positively to serum urate in both cases
  • In vitro, urate did not directly induce TGF-β but enhanced SMAD2 phosphorylation
  • Urate-induced pro-inflammatory monocyte phenotype partly reversed by blocking TGF-β

Original publication

TGF-β is elevated in hyperuricemic individuals and mediates urate-induced hyperinflammatory phenotype in human mononuclear cells. Arthritis Res Ther. Published 27 February 2023. doi:10.1186/s13075-023-03001-1

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