iScience (Sep 2022)

Pathogenic mechanisms involving the interplay between adipose tissue and auto-antibodies in rheumatoid arthritis

  • Iván Arias-de la Rosa,
  • Alejandro Escudero-Contreras,
  • Miriam Ruiz-Ponce,
  • Laura Cuesta-López,
  • Cristóbal Román-Rodríguez,
  • Carlos Pérez-Sánchez,
  • Patricia Ruiz-Limón,
  • Rocío Guzman- Ruiz,
  • Fernando Leiva-Cepas,
  • Juan Alcaide,
  • Pedro Segui,
  • Chamaida Plasencia,
  • Ana Martinez-Feito,
  • Pilar Font,
  • María C. Ábalos,
  • Rafaela Ortega,
  • María M. Malagón,
  • Francisco J. Tinahones,
  • Eduardo Collantes-Estévez,
  • Chary López-Pedrera,
  • Nuria Barbarroja

Journal volume & issue
Vol. 25, no. 9
p. 104893

Abstract

Read online

Summary: We aimed to evaluate the association between adipose tissue (AT) dysfunction, autoimmunity, and disease activity in rheumatoid arthritis (RA). A cross-sectional study including 150 RA patients and 50 healthy donors and longitudinal study with 122 RA patients treated with anti-tumor necrosis factor (TNF)-α, anti-interleukin 6 receptor (IL6R) or anti-CD20 therapies for 6 months were carried out. In vitro experiments with human AT and adipocyte and macrophage cell lines were performed. A collagen-induced arthritis mouse model was developed. The insulin resistance and the altered adipocytokine profile were associated with disease activity, the presence of anti-citrullinated proteins anti-bodies (ACPAs), and worse response to therapy in RA. AT in the context of arthritis is characterized by an inflammatory state alongside the infiltration of macrophages and B/plasmatic cells, where ACPAs can have a direct impact, inducing inflammation and insulin resistance in macrophages and promoting a defective adipocyte differentiation, partially restored by biologicals.

Keywords