致病性、糖酵解 PD-1+ B 细胞在缺氧的 RA 关节中积聚。
Pathogenic, glycolytic PD-1+ B cells accumulate in the hypoxic RA joint.
机构信息
Molecular Rheumatology, Trinity Biomedical Sciences Institute.
Department of Mechanical and Manufacturing Engineering, and.
出版信息
JCI Insight. 2020 Nov 5;5(21):139032. doi: 10.1172/jci.insight.139032.
While autoantibodies are used in the diagnosis of rheumatoid arthritis (RA), the function of B cells in the inflamed joint remains elusive. Extensive flow cytometric characterization and SPICE algorithm analyses of single-cell synovial tissue from patients with RA revealed the accumulation of switched and double-negative memory programmed death-1 receptor-expressing (PD-1-expressing) B cells at the site of inflammation. Accumulation of memory B cells was mediated by CXCR3, evident by the observed increase in CXCR3-expressing synovial B cells compared with the periphery, differential regulation by key synovial cytokines, and restricted B cell invasion demonstrated in response to CXCR3 blockade. Notably, under 3% O2 hypoxic conditions that mimic the joint microenvironment, RA B cells maintained marked expression of MMP-9, TNF, and IL-6, with PD-1+ B cells demonstrating higher expression of CXCR3, CD80, CD86, IL-1β, and GM-CSF than their PD-1- counterparts. Finally, following functional analysis and flow cell sorting of RA PD-1+ versus PD-1- B cells, we demonstrate, using RNA-Seq and emerging fluorescence lifetime imaging microscopy of cellular NAD, a significant shift in metabolism of RA PD-1+ B cells toward glycolysis, associated with an increased transcriptional signature of key cytokines and chemokines that are strongly implicated in RA pathogenesis. Our data support the targeting of pathogenic PD-1+ B cells in RA as a focused, novel therapeutic option.
虽然自身抗体用于类风湿关节炎 (RA) 的诊断,但炎症关节中 B 细胞的功能仍然难以捉摸。对 RA 患者滑膜组织的单细胞进行广泛的流式细胞术特征分析和 SPICE 算法分析,揭示了在炎症部位积累了已转换和双阴性记忆程序性死亡受体-1 表达 (PD-1 表达) 的 B 细胞。记忆 B 细胞的积累是由 CXCR3 介导的,通过观察到与外周相比,CXCR3 表达的滑膜 B 细胞增加,关键滑膜细胞因子的差异调节,以及对 CXCR3 阻断的反应性受限的 B 细胞侵袭来证明。值得注意的是,在模拟关节微环境的 3% O2 低氧条件下,RA B 细胞保持 MMP-9、TNF 和 IL-6 的显著表达,PD-1+B 细胞表现出比其 PD-1- 对应物更高的 CXCR3、CD80、CD86、IL-1β和 GM-CSF 的表达。最后,在对 RA PD-1+与 PD-1- B 细胞进行功能分析和流式细胞分选后,我们使用 RNA-Seq 和细胞 NAD 的新兴荧光寿命成像显微镜,证明 RA PD-1+ B 细胞的代谢向糖酵解显著转变,与关键细胞因子和趋化因子的转录特征增加有关,这些细胞因子和趋化因子强烈参与 RA 的发病机制。我们的数据支持将 RA 中的致病性 PD-1+ B 细胞作为一种有针对性的新型治疗选择。