Involvement of Monocyte Subsets in the Immunopathology of Giant Cell Arteritis

Abstract Monocytes/macrophages are critical in systemic and local inflammation in giant cell arteritis (GCA) and possibly in clinically overlapping polymyalgia rheumatica (PMR). Therefore, we aimed to understand the contribution of monocyte subsets and the CX3CR1-CX3CL1 and CCR2-CCL2 migratory pathw...

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Autores principales: Yannick van Sleen, Qi Wang, Kornelis S. M. van der Geest, Johanna Westra, Wayel H. Abdulahad, Peter Heeringa, Annemieke M. H. Boots, Elisabeth Brouwer
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Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/b86d4cd688644cae93d608708ac0a7e4
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spelling oai:doaj.org-article:b86d4cd688644cae93d608708ac0a7e42021-12-02T12:30:17ZInvolvement of Monocyte Subsets in the Immunopathology of Giant Cell Arteritis10.1038/s41598-017-06826-42045-2322https://doaj.org/article/b86d4cd688644cae93d608708ac0a7e42017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-06826-4https://doaj.org/toc/2045-2322Abstract Monocytes/macrophages are critical in systemic and local inflammation in giant cell arteritis (GCA) and possibly in clinically overlapping polymyalgia rheumatica (PMR). Therefore, we aimed to understand the contribution of monocyte subsets and the CX3CR1-CX3CL1 and CCR2-CCL2 migratory pathways, to the pathology of GCA. Peripheral blood monocytes were enumerated in samples from newly-diagnosed, untreated GCA and PMR patients and after prednisone-induced remission. The distribution of classical (CD14brightCD16neg) and the more pro-inflammatory, intermediate (CD14brightCD16+) and non-classical (CD14dimCD16+) monocyte subsets was analysed by flow cytometry. The phenotype of macrophages in temporal artery biopsies (TABs) from GCA patients was studied by immunohistochemistry and immunofluorescence. A clear monocytosis was seen in newly diagnosed GCA and PMR patients caused by elevated numbers of classical monocytes. Prednisone treatment suppressed numbers of non-classical monocytes. Both chemokine CX3CL1 and CCL2 were highly expressed in the TAB. Most macrophages in the TAB of GCA patients expressed non-classical monocyte markers CD16 and CX3CR1 whereas co-localisation of CD16 with classical monocyte marker CCR2 was infrequent. In conclusion, we report an altered distribution of monocyte subsets in both GCA and PMR patients. The majority of macrophages in TABs of GCA patients were CD68 + CD16 + CX3CR1 + CCR2− and thereby resembled the phenotype of non-classical monocytes.Yannick van SleenQi WangKornelis S. M. van der GeestJohanna WestraWayel H. AbdulahadPeter HeeringaAnnemieke M. H. BootsElisabeth BrouwerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-11 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yannick van Sleen
Qi Wang
Kornelis S. M. van der Geest
Johanna Westra
Wayel H. Abdulahad
Peter Heeringa
Annemieke M. H. Boots
Elisabeth Brouwer
Involvement of Monocyte Subsets in the Immunopathology of Giant Cell Arteritis
description Abstract Monocytes/macrophages are critical in systemic and local inflammation in giant cell arteritis (GCA) and possibly in clinically overlapping polymyalgia rheumatica (PMR). Therefore, we aimed to understand the contribution of monocyte subsets and the CX3CR1-CX3CL1 and CCR2-CCL2 migratory pathways, to the pathology of GCA. Peripheral blood monocytes were enumerated in samples from newly-diagnosed, untreated GCA and PMR patients and after prednisone-induced remission. The distribution of classical (CD14brightCD16neg) and the more pro-inflammatory, intermediate (CD14brightCD16+) and non-classical (CD14dimCD16+) monocyte subsets was analysed by flow cytometry. The phenotype of macrophages in temporal artery biopsies (TABs) from GCA patients was studied by immunohistochemistry and immunofluorescence. A clear monocytosis was seen in newly diagnosed GCA and PMR patients caused by elevated numbers of classical monocytes. Prednisone treatment suppressed numbers of non-classical monocytes. Both chemokine CX3CL1 and CCL2 were highly expressed in the TAB. Most macrophages in the TAB of GCA patients expressed non-classical monocyte markers CD16 and CX3CR1 whereas co-localisation of CD16 with classical monocyte marker CCR2 was infrequent. In conclusion, we report an altered distribution of monocyte subsets in both GCA and PMR patients. The majority of macrophages in TABs of GCA patients were CD68 + CD16 + CX3CR1 + CCR2− and thereby resembled the phenotype of non-classical monocytes.
format article
author Yannick van Sleen
Qi Wang
Kornelis S. M. van der Geest
Johanna Westra
Wayel H. Abdulahad
Peter Heeringa
Annemieke M. H. Boots
Elisabeth Brouwer
author_facet Yannick van Sleen
Qi Wang
Kornelis S. M. van der Geest
Johanna Westra
Wayel H. Abdulahad
Peter Heeringa
Annemieke M. H. Boots
Elisabeth Brouwer
author_sort Yannick van Sleen
title Involvement of Monocyte Subsets in the Immunopathology of Giant Cell Arteritis
title_short Involvement of Monocyte Subsets in the Immunopathology of Giant Cell Arteritis
title_full Involvement of Monocyte Subsets in the Immunopathology of Giant Cell Arteritis
title_fullStr Involvement of Monocyte Subsets in the Immunopathology of Giant Cell Arteritis
title_full_unstemmed Involvement of Monocyte Subsets in the Immunopathology of Giant Cell Arteritis
title_sort involvement of monocyte subsets in the immunopathology of giant cell arteritis
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/b86d4cd688644cae93d608708ac0a7e4
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