Type II collagen facilitates gouty arthritis by regulating MSU crystallisation and inflammatory cell recruitment

© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ..

OBJECTIVE: Increasing evidence suggests that impaired cartilage is a substantial risk factor for the progression from hyperuricaemia to gout. Since the relationship between cartilage matrix protein and gout flares remains unclear, we investigated its role in monosodium urate (MSU) crystallisation and following inflammation.

METHODS: Briefly, we screened for cartilage matrix in synovial fluid from gouty arthritis patients with cartilage injuries. After identifying a correlation between crystals and matrix molecules, we conducted image analysis and classification of crystal phenotypes according to their morphology. We then evaluated the differences between the cartilage matrix protein-MSU complex and the pure MSU crystal in their interaction with immune cells and identified the related signalling pathway.

RESULTS: Type II collagen (CII) was found to be enriched around MSU crystals in synovial fluid after cartilage injury. Imaging analysis revealed that CII regulated the morphology of single crystals and the alignment of crystal bows in the co-crystalline system, leading to greater phagocytosis and oxidative stress in macrophages. Furthermore, CII upregulated MSU-induced chemokine and proinflammatory cytokine expression in macrophages, thereby promoting the recruitment of leucocytes. Mechanistically, CII enhanced MSU-mediated inflammation by activating the integrin β1(ITGB1)-dependent TLR2/4-NF-κB signal pathway.

CONCLUSION: Our study demonstrates that the release of CII and protein-crystal adsorption modifies the crystal profile and promotes the early immune response in MSU-mediated inflammation. These findings open up a new path for understanding the relationship between cartilage injuries and the early immune response in gout flares.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:82

Enthalten in:

Annals of the rheumatic diseases - 82(2023), 3 vom: 01. März, Seite 416-427

Sprache:

Englisch

Beteiligte Personen:

Xu, HanLin [VerfasserIn]
Zhang, Bohan [VerfasserIn]
Chen, Yaxin [VerfasserIn]
Zeng, Fengzhen [VerfasserIn]
Wang, Wenjuan [VerfasserIn]
Chen, Ziyi [VerfasserIn]
Cao, Ling [VerfasserIn]
Shi, Jun [VerfasserIn]
Chen, Jun [VerfasserIn]
Zhu, Xiaoxia [VerfasserIn]
Xue, Yu [VerfasserIn]
He, Rui [VerfasserIn]
Ji, MinBiao [VerfasserIn]
Hua, YingHui [VerfasserIn]

Links:

Volltext

Themen:

268B43MJ25
Chemokines
Collagen Type II
Crystal arthropathies
Cytokines
Gout
Journal Article
Matrilin Proteins
Research Support, Non-U.S. Gov't
Uric Acid

Anmerkungen:

Date Completed 14.02.2023

Date Revised 27.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1136/ard-2022-222764

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346258995