Macrophage heterogeneity in the context of rheumatoid arthritis

Macrophages are very important in the pathogenesis of rheumatoid arthritis (RA). The increase in the number of sublining macrophages in the synovium is an early hallmark of active rheumatic disease, and high numbers of macrophages are a prominent feature of inflammatory lesions. The degree of synovi...

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Main Authors: Udalova, I, Mantovani, A, Feldmann, M
Format: Journal article
Language:English
Published: Nature Publishing Group 2016
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author Udalova, I
Mantovani, A
Feldmann, M
author_facet Udalova, I
Mantovani, A
Feldmann, M
author_sort Udalova, I
collection OXFORD
description Macrophages are very important in the pathogenesis of rheumatoid arthritis (RA). The increase in the number of sublining macrophages in the synovium is an early hallmark of active rheumatic disease, and high numbers of macrophages are a prominent feature of inflammatory lesions. The degree of synovial macrophage infiltration correlates with the degree of joint erosion, and depletion of these macrophages from inflamed tissue has a profound therapeutic benefit. Research has now uncovered an unexpectedly high level of heterogeneity in macrophage origin and function, and has emphasized the role of environmental factors in their functional specialization. Although the heterogeneous populations of macrophages in RA have not been fully characterized, preliminary results in mouse models of arthritis have contributed to our understanding of the phenotype and ontogeny of synovial macrophages, and to deciphering the properties of monocyte-derived infiltrating and tissue-resident macrophages. Elucidating the molecular mechanisms that drive polarization of macrophages towards proinflammatory or anti-inflammatory phenotypes could lead to identification of signalling pathways that inform future therapeutic strategies.
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spelling oxford-uuid:a3dca7d1-7ad4-46db-a64a-473728a328ad2022-03-27T02:30:01ZMacrophage heterogeneity in the context of rheumatoid arthritisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a3dca7d1-7ad4-46db-a64a-473728a328adEnglishSymplectic Elements at OxfordNature Publishing Group2016Udalova, IMantovani, AFeldmann, MMacrophages are very important in the pathogenesis of rheumatoid arthritis (RA). The increase in the number of sublining macrophages in the synovium is an early hallmark of active rheumatic disease, and high numbers of macrophages are a prominent feature of inflammatory lesions. The degree of synovial macrophage infiltration correlates with the degree of joint erosion, and depletion of these macrophages from inflamed tissue has a profound therapeutic benefit. Research has now uncovered an unexpectedly high level of heterogeneity in macrophage origin and function, and has emphasized the role of environmental factors in their functional specialization. Although the heterogeneous populations of macrophages in RA have not been fully characterized, preliminary results in mouse models of arthritis have contributed to our understanding of the phenotype and ontogeny of synovial macrophages, and to deciphering the properties of monocyte-derived infiltrating and tissue-resident macrophages. Elucidating the molecular mechanisms that drive polarization of macrophages towards proinflammatory or anti-inflammatory phenotypes could lead to identification of signalling pathways that inform future therapeutic strategies.
spellingShingle Udalova, I
Mantovani, A
Feldmann, M
Macrophage heterogeneity in the context of rheumatoid arthritis
title Macrophage heterogeneity in the context of rheumatoid arthritis
title_full Macrophage heterogeneity in the context of rheumatoid arthritis
title_fullStr Macrophage heterogeneity in the context of rheumatoid arthritis
title_full_unstemmed Macrophage heterogeneity in the context of rheumatoid arthritis
title_short Macrophage heterogeneity in the context of rheumatoid arthritis
title_sort macrophage heterogeneity in the context of rheumatoid arthritis
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AT mantovania macrophageheterogeneityinthecontextofrheumatoidarthritis
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