ACR Meeting Abstracts

ACR Meeting Abstracts

  • Meetings
    • ACR Convergence 2024
    • ACR Convergence 2023
    • 2023 ACR/ARP PRSYM
    • ACR Convergence 2022
    • ACR Convergence 2021
    • ACR Convergence 2020
    • 2020 ACR/ARP PRSYM
    • 2019 ACR/ARP Annual Meeting
    • 2018-2009 Meetings
    • Download Abstracts
  • Keyword Index
  • Advanced Search
  • Your Favorites
    • Favorites
    • Login
    • View and print all favorites
    • Clear all your favorites
  • ACR Meetings

Abstract Number: 2440

Synovial Shaping of Skin-derived Migrating Immune Cells Determines Initiation of Inflammation in Psoriatic Arthritis

Maria Gabriella Raimondo1, Simon Rauber2, Hashem Mohammadian3, Mario Angeli1, Cong Xu1, Aleix Rius Rigau4, Markus Luber1, Hannah Labinsky5, Alina Ramming1, Stefano Alivernini6, Jörg Distler1, Ursula Fearon7, Douglas Veale8, Michael Sticherling9, Juan D Canete10, Georg Schett11 and Andreas Ramming1, 1Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany; Deutsches Zentrum für Immuntherapie, Friedrich Alexander University Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany, 23 Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany. 4 Deutsches Zentrum für Immuntherapie, Friedrich Alexander University Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany., Erlangen, Germany, 3Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany. Deutsches Zentrum für Immuntherapie, Friedrich Alexander University Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany, 4Department of Internal Medicine 3, Rheumatology and Clinical Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU) and University Hospital Erlangen, Erlangen, Germany; Deutsches Zentrum Immuntherapie (DZI), FAU Erlangen-Nürnberg and University Hospital Erlangen, Erlangen, Germany, 5Medical Department II, Rheumatology, University Hospital Würzburg, Würzburg, Germany, 6Immunology Research Core Facility, Gemelli Science and Technology Park, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Division of Rheumatology - Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy, 7Trinity College Dublin, Dublin, Ireland, 8St.Vincent's University Hosp, Dublin, Ireland, 9Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg & Universitätsklinikum Erlangen, Department of Dermatology, Erlangen, Germany, 10Hospital Clinic an IDIBAPS, Barcelona, Spain, 11Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany

Meeting: ACR Convergence 2023

Keywords: Fibroblasts, Synovial, innate immunity, Monocytes/macrophages, Psoriatic arthritis, skin

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print
Session Information

Date: Tuesday, November 14, 2023

Title: Abstracts: Spondyloarthritis Including Psoriatic Arthritis – Basic Science

Session Type: Abstract Session

Session Time: 2:00PM-3:30PM

Background/Purpose: Around 30% of the patients with psoriasis (PsO) develop psoriatic arthritis (PsA) overtime, suggesting the existence of a disease mediated skin-joint crosstalk. To date, it is still obscure why the inflammatory process in some patients with PsO is restrained to the skin, whereas in other patients it spreads to the joints. Using a pre-clinical model of PsA and PsO, we aimed to untangle the skin-joint axis and to address its role in PsA pathogenesis.

Methods: The IL-23 overexpression (IL-23OE) mouse model of PsO was performed in different genetic backgrounds of KAEDE-transgenic mice expressing a photo-convertible fluorescent reporter to assess cell trafficking from inflamed skin to the joints. Photoswitch from KAEDEGREEN to KAEDERED of psoriatic skin lesions was obtained upon UV light irradiation. Skin-derived cell trafficking to the joints was detected by light sheet fluorescence microscopy (LSFM) and flow cytometry. Imaging flow cytometry was used to determine the immune nature of the migrating cells. Phenotypical characteristic of skin-derived migrating cells in joints was addressed by single-cell RNA-sequencing (scRNAseq) and functional assays. Data were validated in synovial biopsies from PsO and PsA patients by imaging mass cytometry.

Results: Psoriatic skin lesions were induced upon IL-23OE independently from the mouse strain, whereas the initiation of joint inflammation was dependent on the genetic background of the mice, as assessed by MRI scan and histological analysis. Immune cell migration from psoriatic skin to the joints was observed in both protected and non-protected mice from arthritis. ScRNAseq and computational analysis with RNA velocity approach indicates CD2+ MCHII+ monocytes as predominant cell type evading from the inflamed skin and entering the synovial tissue, with no frequency differences between PsO and PsA mice. No phenotypical differences were observed in the pre-differentiated stage of those monocytes in both, arthritis-protected and non-protected animals. However, once in the synovial tissue their further differentiation into macrophages resulted into two different phenotypes, with pro-inflammatory signatures in mice developing PsA. Interactome analyses between local differentiated skin-derived macrophages and tissue resident synovial cells highlighted the role of synovial sublining fibroblasts in shaping the fate of skin-derived macrophages into a protective phenotype without capacity to initiate the joint inflammatory process in PsO mice without arthritis. Imaging mass cytometry of synovial biopsies from patients with PsO and PsA identified niches of the synovial membrane that were either or not protected from inflammation by a similar fibroblastic fate as observed in the murine setting.

Conclusion: Skin derived monocytes play a major role in spreading the inflammation from psoriatic skin to the joints. However, it is upon interaction with the stromal-resident cells that the fate of the migrating monocytes is shaped towards joint protection or joint inflammation resembling PsA. These data might provide completely new diagnostic insights in assessing the risk of PsO patients to develop PsA.


Disclosures: M. Raimondo: None; S. Rauber: None; H. Mohammadian: None; M. Angeli: None; C. Xu: None; A. Rius Rigau: None; M. Luber: None; H. Labinsky: None; A. Ramming: None; S. Alivernini: None; J. Distler: None; U. Fearon: None; D. Veale: None; M. Sticherling: EI Lilly, 5, El Lilly, 6, Janssen, 5, 6, Novartis, 5, 6; J. Canete: None; G. Schett: None; A. Ramming: None.

To cite this abstract in AMA style:

Raimondo M, Rauber S, Mohammadian H, Angeli M, Xu C, Rius Rigau A, Luber M, Labinsky H, Ramming A, Alivernini S, Distler J, Fearon U, Veale D, Sticherling M, Canete J, Schett G, Ramming A. Synovial Shaping of Skin-derived Migrating Immune Cells Determines Initiation of Inflammation in Psoriatic Arthritis [abstract]. Arthritis Rheumatol. 2023; 75 (suppl 9). https://acrabstracts.org/abstract/synovial-shaping-of-skin-derived-migrating-immune-cells-determines-initiation-of-inflammation-in-psoriatic-arthritis/. Accessed .
  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print

« Back to ACR Convergence 2023

ACR Meeting Abstracts - https://acrabstracts.org/abstract/synovial-shaping-of-skin-derived-migrating-immune-cells-determines-initiation-of-inflammation-in-psoriatic-arthritis/

Advanced Search

Your Favorites

You can save and print a list of your favorite abstracts during your browser session by clicking the “Favorite” button at the bottom of any abstract. View your favorites »

All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM ET on November 14, 2024. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

Violation of this policy may result in the abstract being withdrawn from the meeting and other measures deemed appropriate. Authors are responsible for notifying colleagues, institutions, communications firms, and all other stakeholders related to the development or promotion of the abstract about this policy. If you have questions about the ACR abstract embargo policy, please contact ACR abstracts staff at [email protected].

Wiley

  • Online Journal
  • Privacy Policy
  • Permissions Policies
  • Cookie Preferences

© Copyright 2025 American College of Rheumatology