1. Effect of <scp>JAK</scp> Inhibition on the Induction of Proinflammatory <scp>HLA</scp> – <scp>DR</scp> + <scp>CD90</scp> + Rheumatoid Arthritis Synovial Fibroblasts by Interferon‐γ
- Author
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Carsten Watzl, Lars-Oliver Tykocinski, Philipp Kolb, Shuyang Zhao, Guido H. Wabnitz, Deepak A. Rao, Ivana Andreeva, T. Tretter, Wolfgang Merkt, Haizhang Chen, Ricardo Grieshaber-Bouyer, and Hanns-Martin Lorenz
- Subjects
musculoskeletal diseases ,Chemistry ,medicine.medical_treatment ,Immunology ,Inflammation ,CD16 ,fluids and secretions ,Cytokine ,Immune system ,Rheumatology ,embryonic structures ,medicine ,Cancer research ,Superantigen ,Immunology and Allergy ,Synovial fluid ,CD90 ,medicine.symptom ,Receptor - Abstract
Objectives Recent transcriptome analyses revealed that 15-fold expanded HLA-DR+ CD90+ synovial fibroblasts (SFs) are potential key mediators of inflammation in rheumatoid arthritis (RA). The reasons for the expansion of HLA-DR+ CD90+ SFs are unclear, but genetic signatures indicated a central role of IFNɣ in the generation of this fibroblast subset. In the present study, we investigated the generation of HLA-DR+ CD90+ SFs and their function. We hypothesized that infiltrating leukocytes such as NK cells become activated in situ, provide IFNɣ and thus contribute to the generation of arthritic HLA-DR+ CD90+ SFs. Methods We combined functional assays using primary human materials and focused bioinformatic analyses of mass cytometry and transcriptomics patient datasets. Results We detected enriched and activated FcɣRIIIA(CD16)+ NK cells in synovia from active RA. CD16 recognized immune complexes in synovial fluid, potentially contributing to NK cell activation in RA. In vitro, NK cell-derived IFNɣ induced HLA-DR and an inflammatory, cytokine secreting, HLA-DR+ phenotype in CD90+ SFs. HLA-DR+ CD90+ SFs consecutively activated CD4+ T cells upon receptor crosslinking via superantigens. HLA-DR+ CD90+ SFs also activated CD4+ T cells in absence of superantigens, an effect that was boosted by NK cell-derived IFNɣ and that was four times stronger in RA compared to osteoarthritis. Finally, JAK inhibition prevented HLA-DR induction and blocked pro-inflammatory signals to T cells. Conclusions HLA-DR+ CD90+ SFs are an activation state that can be induced by IFNɣ, likely provided from infiltrating leukocytes such as activated NK cells. The induction of these pro-inflammatory, IL-6 producing and likely antigen-presenting SFs can be targeted by JAK inhibition.
- Published
- 2022
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