Journal: Nature Communications
Article Title: Axl and MerTK regulate synovial inflammation and are modulated by IL-6 inhibition in rheumatoid arthritis
doi: 10.1038/s41467-024-46564-6
Figure Lengend Snippet: A , C AXL ( A ) and MERTK ( C ) gene expression (vst normalised reads) in synovial tissue of anti-TNF inadequate responder RA patients (R4RA cohort, n = 133) according to the histological pathotype defined as Pauci-Immune (P-I, in green), Diffuse-Myeloid (D-M, in red), and Lympho-Myeloid (L-M, in blue). Data are represented as mean ±SEM. p values were calculated using the Kruskal–Wallis test with Dunn’s post hoc test. B , D Correlation between synovial AXL ( B ) and MERTK ( D ) gene expression and semi-quantitative scores (0–4) of B cells (CD20), T cells (CD3), plasma cells (CD138), and sublining macrophages (CD68SL). p values and r-coefficients were calculated using the two-tailed Pearson correlation test. E Expression of sAxl, sMerTK (pg/mL) or the ratio between sMerTK and sAxl in the supernatant of primary fibroblasts-like synoviocytes (FLS) conditioned with supernatant from M1-polarised THP1 (SN M1) or M2-polarised THP1 (SN M2), or in the respective medium used to condition the cells (SN CT). F Expression of sAxl, sMerTK (pg/mL) or the ratio between sMerTK and sAxl in the supernatant of THP1-derived macrophages conditioned with supernatant from unstimulated RA-FLS (SN FLS) or LPS stimulated FLS (SN FLS Infl.), or in the respective medium used to condition the cells (SN CT). E , F Data are represented as mean ±SEM. p values indicated were calculated using the unpaired two-tailed t test (left and middle panels) or the two-tailed Mann–Whitney test (right panel). Experiments were performed on n = 3 distinct patient-derived FLS. G , H Heatmaps showing the correlation between AXL and MERTK synovial transcript levels at baseline and cytokines and growth factors relevant to the inflammatory response ( G ) and clinical parameters ( H ). The red/blue scale represents the Spearman r coefficient, calculated using the two-tailed Spearman correlation test. * p < 0.05, ** p < 0.01, *** p < 0.001, **** p < 0.0001. CRP C-reactive protein, ESR erythrocyte sedimentation rate, DAS28 disease activity score 28, TJC/28 tender joints count (0–28), SJC/28 swollen joints count (0-28), HAQ health assessment questionnaire.
Article Snippet: The following fluorescent markers were used to determine the morphology of the tissue: CD68-AF532 (clone KP1, Cat. N. NB100-683 Novus) for macrophages, CD20-DL594 (clone IGEL/773, Cat. N. NBP2-44745, Novus) for B cells, and CD3-AF647 (clone UMAB54, Cat. N. TA807198, Origene) for T cells; nuclei were counterstained with Syto13 (Cat. N. S7575, ThermoFisher).
Techniques: Gene Expression, Clinical Proteomics, Two Tailed Test, Expressing, Derivative Assay, MANN-WHITNEY, Sedimentation, Activity Assay