Mechanical strain determines the site-specific localization of inflammation and tissue damage in arthritis

被引:147
作者
Cambre, Isabelle [1 ,2 ]
Gaublomme, Djoere [1 ,2 ]
Burssens, Arne [1 ,2 ,3 ]
Jacques, Peggy [1 ,2 ]
Schryvers, Nadia [1 ,2 ]
De Muynck, Amelie [4 ]
Meuris, Leander [5 ,6 ]
Lambrecht, Stijn [1 ,2 ]
Carter, Shea [7 ,8 ]
de Bleser, Pieter [9 ]
Saeys, Yvan [9 ]
Van Hoorebeke, Luc [4 ]
Kollias, George [10 ,11 ]
Mack, Matthias [12 ]
Simoens, Paul [13 ]
Lories, Rik [7 ,8 ]
Callewaert, Nico [5 ,6 ]
Schett, Georg [14 ,15 ]
Elewaut, Dirk [1 ,2 ]
机构
[1] VIB Inflammat Res Ctr IRC, Unit Mol Immunol & Inflammat, Technol Pk 927, B-9052 Ghent, Belgium
[2] Univ Ghent, Ghent Univ Hosp, Dept Rheumatol, De Pintelaan 185, B-9000 Ghent, Belgium
[3] Ghent Univ Hosp, Dept Orthopaed & Traumatol, De Pintelaan 185, B-9000 Ghent, Belgium
[4] Univ Ghent, UGCT Dept Phys & Astron, Proeftuinstr 86, B-9000 Ghent, Belgium
[5] VIB Inflammat Res Ctr IRC, Unit Med Biotechnol, Technol Pk 927, B-9052 Ghent, Belgium
[6] Univ Ghent, Dept Biochem & Microbiol, Lab Prot Biochem & Biomol Engn, Technol Pk 927, B-9000 Ghent, Belgium
[7] Katholieke Univ Leuven, Dept Dev & Regenerat, Lab Tissue Homeostasis & Dis, Skeletal Biol & Engn Res Ctr, Herestr 49, B-3000 Leuven, Belgium
[8] Univ Hosp Leuven, Div Rheumatol, Herestr 49, B-3000 Leuven, Belgium
[9] VIB Ctr Inflammat Res, Data Min & Modeling Biomed, Technol Pk 927, B-9052 Ghent, Belgium
[10] Biomed Sci Res Ctr Alexander Fleming, Div Immunol, 34 Fleming St, Vari 16672, Attica, Greece
[11] Univ Athens, Sch Med, Dept Expt Physiol, 75 Mikras Asias St, Athens 11527, Greece
[12] Univ Hosp Regensburg, Dept Internal Med Nephrol 2, D-93402 Regensburg, Germany
[13] Univ Ghent, Fac Vet Med, Dept Morphol, Salisburylaan 133, B-9820 Merelbeke, Belgium
[14] Friedrich Alexander Univ Erlangen Nuremberg, Dept Internal Med 3, Rheumatol & Immunol, Ulmenweg 18, D-91054 Erlangen, Germany
[15] Univ Klinikum, Ulmenweg 18, D-91054 Erlangen, Germany
关键词
RHEUMATOID-ARTHRITIS; JOINT; AUTOIMMUNITY; OSTEOCLASTS; RESOLUTION; MONOCYTES; DISEASE; CELLS; TNF;
D O I
10.1038/s41467-018-06933-4
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
070301 [无机化学]; 070403 [天体物理学]; 070507 [自然资源与国土空间规划学]; 090105 [作物生产系统与生态工程];
摘要
Many pro-inflammatory pathways leading to arthritis have global effects on the immune system rather than only acting locally in joints. The reason behind the regional and patchy distribution of arthritis represents a longstanding paradox. Here we show that biomechanical loading acts as a decisive factor in the transition from systemic autoimmunity to joint inflammation. Distribution of inflammation and erosive disease is confined to mechano-sensitive regions with a unique microanatomy. Curiously, this pathway relies on stromal cells but not adaptive immunity. Mechano-stimulation of mesenchymal cells induces CXCL1 and CCL2 for the recruitment of classical monocytes, which can differentiate into bone-resorbing osteoclasts. Genetic ablation of CCL2 or pharmacologic targeting of its receptor CCR2 abates mechanically-induced exacerbation of arthritis, indicating that stress-induced chemokine release by mesenchymal cells and chemo-attraction of monocytes determines preferential homing of arthritis to certain hot spots. Thus, mechanical strain controls the site-specific localisation of inflammation and tissue damage in arthritis.
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页数:14
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