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Diminished cytokine-induced Jak/STAT signaling is associated with rheumatoid arthritis and disease activity.


ABSTRACT: Rheumatoid arthritis (RA) is a systemic and incurable autoimmune disease characterized by chronic inflammation in synovial lining of joints. To identify the signaling pathways involved in RA, its disease activity, and treatment response, we adapted a systems immunology approach to simultaneously quantify 42 signaling nodes in 21 immune cell subsets (e.g., IFN??p-STAT5 in B cells) in peripheral blood mononuclear cells (PBMC) from 194 patients with longstanding RA (including 98 patients before and after treatment), and 41 healthy controls (HC). We found multiple differences between patients with RA compared to HC, predominantly in cytokine-induced Jak/STAT signaling in many immune cell subsets, suggesting pathways that may be associated with susceptibility to RA. We also found that high RA disease activity, compared to low disease activity, was associated with decreased (e.g., IFN??p-STAT5, IL-10?p-STAT1) or increased (e.g., IL-6?STAT3) response to stimuli in multiple cell subsets. Finally, we compared signaling in patients with established, refractory RA before and six months after initiation of methotrexate (MTX) or TNF inhibitors (TNFi). We noted significant changes from pre-treatment to post-treatment in IFN??p-STAT5 signaling and IL-10?p-STAT1 signaling in multiple cell subsets; these changes brought the aberrant RA signaling profiles toward those of HC. This large, comprehensive functional signaling pathway study provides novel insights into the pathogenesis of RA and shows the potential of quantification of cytokine-induced signaling as a biomarker of disease activity or treatment response.

SUBMITTER: Ptacek J 

PROVIDER: S-EPMC7808603 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Diminished cytokine-induced Jak/STAT signaling is associated with rheumatoid arthritis and disease activity.

Ptacek Jason J   Hawtin Rachael E RE   Sun Dongmei D   Louie Brent B   Evensen Erik E   Mittleman Barbara B BB   Cesano Alessandra A   Cavet Guy G   Bingham Clifton O CO   Cofield Stacey S SS   Curtis Jeffrey R JR   Danila Maria I MI   Raman Chander C   Furie Richard A RA   Genovese Mark C MC   Robinson William H WH   Levesque Marc C MC   Moreland Larry W LW   Nigrovic Peter A PA   Shadick Nancy A NA   O'Dell James R JR   Thiele Geoffrey M GM   Clair E William St EWS   Striebich Christopher C CC   Hale Matthew B MB   Khalili Houman H   Batliwalla Franak F   Aranow Cynthia C   Mackay Meggan M   Diamond Betty B   Nolan Garry P GP   Gregersen Peter K PK   Bridges S Louis SL  

PloS one 20210114 1


Rheumatoid arthritis (RA) is a systemic and incurable autoimmune disease characterized by chronic inflammation in synovial lining of joints. To identify the signaling pathways involved in RA, its disease activity, and treatment response, we adapted a systems immunology approach to simultaneously quantify 42 signaling nodes in 21 immune cell subsets (e.g., IFNα→p-STAT5 in B cells) in peripheral blood mononuclear cells (PBMC) from 194 patients with longstanding RA (including 98 patients before and  ...[more]

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