1. Arthritis in systemic lupus erythematosus is characterized by local IL-17A and IL-6 expression in synovial fluid
- Author
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Vivianne Malmström, Francesca Faustini, Iva Gunnarsson, Sara Turcinov, Natalie Sippl, Johan Rönnelid, and Karine Chemin
- Subjects
CD4-Positive T-Lymphocytes ,Male ,0301 basic medicine ,T cell ,Immunology ,T cells ,Arthritis ,CD8-Positive T-Lymphocytes ,Interferon-gamma ,Editors' Choice ,03 medical and health sciences ,0302 clinical medicine ,synovial fluid ,systemic lupus erythematosus ,immune system diseases ,medicine ,Humans ,Lupus Erythematosus, Systemic ,Immunology and Allergy ,Synovial fluid ,Interleukin 6 ,skin and connective tissue diseases ,B cell ,Rheumatology and Autoimmunity ,B-Lymphocytes ,Reumatologi och inflammation ,Systemic lupus erythematosus ,biology ,Interleukin-6 ,business.industry ,Interleukin-17 ,Immunology in the medical area ,Dendritic cell ,Middle Aged ,medicine.disease ,cytokines ,030104 developmental biology ,medicine.anatomical_structure ,arthritis ,Rheumatoid arthritis ,Immunologi inom det medicinska området ,biology.protein ,Th17 Cells ,Female ,Original Article ,business ,030215 immunology - Abstract
Summary Arthritis is a common clinical feature of systemic lupus erythematosus (SLE) and is usually non‐erosive, as opposed to rheumatoid arthritis (RA). While RA synovial pathology has been extensively studied, little is known about the pathophysiology of lupus arthritis. Here, we aimed to explore the cytokine and cellular compartments in synovial fluids of SLE patients with arthritic manifestations. Acellular synovial fluid and paired serum samples from SLE patients (n = 17) were analyzed with cytokine bead array for T helper‐associated cytokines. From two SLE patients, synovial fluid mononuclear cells (SFMC) could also be captured and were analyzed by multiparameter flow cytometry to dissect T cell, B cell, monocyte and dendritic cell phenotypes. SLE‐derived SFMC were further stimulated in vitro to measure their capacity for producing interferon (IFN)‐γ and interleukin (IL)‐17A. All patients fulfilled the ACR 1982 classification criteria for SLE. Clinical records were reviewed to exclude the presence of co‐morbidities such as osteoarthritis or overlap with RA. IL‐17A and IL‐6 levels were high in SLE synovial fluid. A clear subset of the synovial CD4+ T cells expressed CCR6+, a marker associated with T helper type 17 (Th17) cells. IL‐17A‐production was validated among CD4+CCR6+ T cells following in‐vitro stimulation. Furthermore, a strong IFN‐γ production was observed in both CD4+ and CD8+ cells. Our study shows high IL‐17A and IL‐6 levels in synovial fluids of patients with lupus arthritis. The Th17 pathway has been implicated in several aspects of SLE disease pathogenesis and our data also point to Th17 involvement for lupus arthritis., IL‐17A and IL‐6 are elevated in synovial fluid of SLE arthritis patients. The Th17 pathway have been implicated in several aspects of SLE disease pathogenesis and our data points to Th17 involvement also for lupus arthritis.
- Published
- 2021