Axl and MerTK regulate synovial inflammation and are modulated by IL-6 inhibition in rheumatoid arthritis.
Journal
Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555
Informations de publication
Date de publication:
16 Mar 2024
16 Mar 2024
Historique:
received:
08
03
2023
accepted:
27
02
2024
medline:
18
3
2024
pubmed:
17
3
2024
entrez:
17
3
2024
Statut:
epublish
Résumé
The TAM tyrosine kinases, Axl and MerTK, play an important role in rheumatoid arthritis (RA). Here, using a unique synovial tissue bioresource of patients with RA matched for disease stage and treatment exposure, we assessed how Axl and MerTK relate to synovial histopathology and disease activity, and their topographical expression and longitudinal modulation by targeted treatments. We show that in treatment-naive patients, high AXL levels are associated with pauci-immune histology and low disease activity and inversely correlate with the expression levels of pro-inflammatory genes. We define the location of Axl/MerTK in rheumatoid synovium using immunohistochemistry/fluorescence and digital spatial profiling and show that Axl is preferentially expressed in the lining layer. Moreover, its ectodomain, released in the synovial fluid, is associated with synovial histopathology. We also show that Toll-like-receptor 4-stimulated synovial fibroblasts from patients with RA modulate MerTK shedding by macrophages. Lastly, Axl/MerTK synovial expression is influenced by disease stage and therapeutic intervention, notably by IL-6 inhibition. These findings suggest that Axl/MerTK are a dynamic axis modulated by synovial cellular features, disease stage and treatment.
Identifiants
pubmed: 38493215
doi: 10.1038/s41467-024-46564-6
pii: 10.1038/s41467-024-46564-6
doi:
Substances chimiques
Axl Receptor Tyrosine Kinase
0
c-Mer Tyrosine Kinase
EC 2.7.10.1
Interleukin-6
0
Proto-Oncogene Proteins
0
Receptor Protein-Tyrosine Kinases
EC 2.7.10.1
IL6 protein, human
0
MERTK protein, human
EC 2.7.10.1
AXL protein, human
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2398Subventions
Organisme : RCUK | Medical Research Council (MRC)
ID : G0800648
Organisme : DH | NIHR | Efficacy and Mechanism Evaluation Programme (NIHR Efficacy and Mechanism Evaluation Programme)
ID : 11/100/76
Organisme : DH | National Institute for Health Research (NIHR)
ID : 131575
Organisme : DH | National Institute for Health Research (NIHR)
ID : TRF-2018-11-ST2-002
Organisme : RCUK | MRC | Medical Research Foundation
ID : MR/V012509/1
Organisme : Fondation pour la Recherche Médicale (Foundation for Medical Research in France)
ID : ARF202004011786
Informations de copyright
© 2024. The Author(s).
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