Macrophage Activation in the Synovium of Healthy and Osteoarthritic Equine Joints.
Abstract: Synovitis is a major component of osteoarthritis and is driven primarily by macrophages. Synovial macrophages are crucial for joint homeostasis (M2-like phenotype), but induce inflammation (M1-like) when regulatory functions become overwhelmed. Macrophage phenotypes in synovium from osteoarthritic and healthy joints are poorly characterized; however, comparative knowledge of their phenotypes during health and disease is paramount for developing targeted treatments. This study compared patterns of macrophage activation in healthy and osteoarthritic equine synovium and correlated histology with cytokine/chemokine profiles in synovial fluid. Synovial histology and immunohistochemistry for M1-like (CD86), M2-like (CD206, IL-10), and pan macrophage (CD14) markers were performed on biopsies from 29 healthy and 26 osteoarthritic equine joints. Synovial fluid cytokines (MCP-1, IL-10, PGE2, IL-1β, IL-6, TNF-α, IL-1ra) and growth factors (GM-CSF, SDF-1α+β, IGF-1, and FGF-2) were quantified. Macrophage phenotypes were not as clearly defined in vivo as they are in vitro. All macrophage markers were expressed with minimal differences between OA and normal joints. Expression for all markers increased proportionate to synovial inflammation, especially CD86. Synovial fluid MCP-1 was higher in osteoarthritic joints while SDF-1 and IL-10 were lower, and PGE2 concentrations did not differ between groups. Increased CD14/CD86/CD206/IL-10 expression was associated with synovial hyperplasia, consistent with macrophage recruitment and activation in response to injury. Lower synovial fluid IL-10 could suggest that homeostatic mechanisms from synovial macrophages became overwhelmed preventing inflammation resolution, resulting in chronic inflammation and OA. Further investigations into mechanisms of arthritis resolution are warranted. Developing pro-resolving therapies may provide superior results in the treatment of OA.
Copyright © 2020 Menarim, Gillis, Oliver, Ngo, Werre, Barrett, Rodgerson and Dahlgren.
Publication Date: 2020-11-26 PubMed ID: 33324696PubMed Central: PMC7726135DOI: 10.3389/fvets.2020.568756Google Scholar: Lookup
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Summary
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The study investigates the role and activation patterns of synovial macrophages, critical for joint health, in osteoarthritic and healthy equine joints. Researchers found that in osteoarthritic conditions, synovial macrophages could fail to maintain homeostasis, implying the need for further investigation and development of targeted arthritis resolution therapies.
Macrophage Roles and Phenotypes
- Macrophages are essential for maintaining joint health (represented by the M2-like phenotype).
- However, when their regulatory functions are overwhelmed, they induce inflammation, represented by the M1-like phenotype.
- This study provides comparative information on the macrophage phenotypes in healthy and diseased (osteoarthritic) joints, which is important for the development of targeted treatments.
Study Method and Findings
- Biopsies were conducted on synovium from 29 healthy and 26 osteoarthritic equine joints, with researchers performing synovial histology and immunohistochemistry for M1-like (CD86), M2-like (CD206, IL-10), and pan macrophage (CD14) markers.
- The study found that all macrophage markers were expressed with minimal differences being seen between osteoarthritic (OA) and normal joints, indicating that macrophage phenotypes were not as clearly defined as previously understood.
- The expression for all markers increased proportionately to synovial inflammation, especially CD86.
- Notably, a chemokine, MCP-1, were found in higher concentrations in the synovial fluid of osteoarthritic joints, while SDF-1 and IL-10 were lower, indicating potential correlation with the arthritis condition.
- However, PGE concentrations were similar in both normal and OA joint samples, arguing against any differential role of PGE in these conditions.
Implications
- Increased macrophage marker expression (CD14/CD86/CD206/IL-10) was linked to synovial hyperplasia. This finding suggests that macrophages are recruited and activated in response to injury.
- The lower concentration of synovial fluid IL-10 in osteoarthritic joints indicates that the homeostatic mechanisms managed by synovial macrophages may become overwhelmed, preventing successful inflammation resolution.
- This can lead to chronic inflammation and eventually to osteoarthritis.
- These findings underline the need for further research into the mechanisms of arthritis resolution. The development of pro-resolving therapies may provide superior results in treating osteoarthritis, potentially offering more effective solutions than currently available treatments.
Cite This Article
APA
Menarim BC, Gillis KH, Oliver A, Ngo Y, Werre SR, Barrett SH, Rodgerson DH, Dahlgren LA.
(2020).
Macrophage Activation in the Synovium of Healthy and Osteoarthritic Equine Joints.
Front Vet Sci, 7, 568756.
https://doi.org/10.3389/fvets.2020.568756 Publication
Researcher Affiliations
- Department of Large Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, United States.
- Department of Large Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, United States.
- Department of Large Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, United States.
- Department of Large Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, United States.
- Laboratory for Study Design and Statistical Analysis, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, United States.
- Department of Biomedical Sciences and Pathobiology, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, United States.
- Hagyard Equine Medical Institute, Lexington, KY, United States.
- Department of Large Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, United States.
Conflict of Interest Statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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