Unique transcriptome signatures and GM-CSF expression in lymphocytes from patients with spondyloarthritis.

Unique transcriptome signatures and GM-CSF expression in lymphocytes from patients with spondyloarthritis.
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DOI:
10.1038/s41467-017-01771-2
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发表时间:
2017-11-15
影响因子:
16.6
通讯作者:
Bowness P
Bowness P
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Al-Mossawi MH;Chen L;Fang H;Ridley A;de Wit J;Yager N;Hammitzsch A;Pulyakhina I;Fairfax BP;Simone D;Yi Y;Bandyopadhyay S;Doig K;Gundle R;Kendrick B;Powrie F;Knight JC;Bowness P

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Spondyloarthritis encompasses a group of common inflammatory diseases thought to be driven by IL-17A-secreting type-17 lymphocytes. Here we show increased numbers of GM-CSF-producing CD4 and CD8 lymphocytes in the blood and joints of patients with spondyloarthritis, and increased numbers of IL-17A+GM-CSF+ double-producing CD4, CD8, γδ and NK cells. GM-CSF production in CD4 T cells occurs both independently and in combination with classical Th1 and Th17 cytokines. Type 3 innate lymphoid cells producing predominantly GM-CSF are expanded in synovial tissues from patients with spondyloarthritis. GM-CSF+CD4+ cells, isolated using a triple cytokine capture approach, have a specific transcriptional signature. Both GM-CSF+ and IL-17A+GM-CSF+ double-producing CD4 T cells express increased levels of GPR65, a proton-sensing receptor associated with spondyloarthritis in genome-wide association studies and pathogenicity in murine inflammatory disease models. Silencing GPR65 in primary CD4 T cells reduces GM-CSF production. GM-CSF and GPR65 may thus serve as targets for therapeutic intervention of spondyloarthritis. Spondyloarthritis is an inflammatory disease with Th17 cells implicated in the pathogenesis. Here the authors show that patients with spondyloarthritis have increased numbers of GM-CSF-secreting blood and synovial lymphocytes, Th17 or not, that carry a unique transcriptional profile including enhanced GPR65 expression.
MOR103,一种对粒细胞巨噬细胞刺激因子的人类单克隆抗体,用于治疗中等类风湿关节炎患者:IB/IIA期随机,双盲,安慰剂对照,剂量 - 剂量 - 降低试验的结果。
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