Abstract

Introduction. The participation of an inflammatory joint milieu has been described in osteoarthritis (OA) pathogenesis. Mesenchymal stromal cells (MSCs) play an important role in modulating inflammatory processes. Based on previous studies in an allogeneic T-cell coculture model, we aimed at further determining the role of synovial MSCs in OA pathogenesis. Methods. Bone-marrow (BM) and synovial membrane (SM) MSCs from hip joints of late stage OA patients and CD4+ T-cells from healthy donors were analysed regarding surface marker expression before and after coculture. Proliferation upon CD3/CD28 stimulation and cytokine analyses were compared between MSCs. Results. SM-MSCs differed from BM-MSCs in several surface markers and their osteogenic differentiation potential. Cocultures of both MSCs with CD4+ T-cells resulted in recruitment of CD45RA+ FoxP3+ regulatory T-cells. Upon stimulation, only SM-MSCs suppressed CD4+ T-cell proliferation, while both SM-MSCs and BM-MSCs modified cytokine profiles through suppressing IL-2 and TNF-α as well as increasing IL-6 secretion. Conclusions. Synovial MSCs from OA joints are a unique fraction that can be distinguished from their bone-marrow derived counterparts. Their unique ability to suppress CD3/CD28 induced CD4+ T-cell proliferation makes them a potential target for future therapeutic approaches.

Highlights

  • The participation of an inflammatory joint milieu has been described in osteoarthritis (OA) pathogenesis

  • While synovial inflammation in osteoarthritis has already been reported more than 20 years ago [6, 7] and since several other studies have underlined the importance of inflammatory infiltrates in the disease [8,9,10], no significant advances in therapeutical approaches have been made in this regard

  • We have recently reported that Mesenchymal stromal cells (MSCs) derived from the synovium and bone marrow of osteoarthritis patients may be candidates for immunoregulation in the affected joint, based on our findings that these cells effectively regulate regulatory T-cells (Tregs) in an in vitro coculture model [14]

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Summary

Introduction

The participation of an inflammatory joint milieu has been described in osteoarthritis (OA) pathogenesis. Bone-marrow (BM) and synovial membrane (SM) MSCs from hip joints of late stage OA patients and CD4+ T-cells from healthy donors were analysed regarding surface marker expression before and after coculture. Synovial MSCs from OA joints are a unique fraction that can be distinguished from their bone-marrow derived counterparts Their unique ability to suppress CD3/CD28 induced CD4+ T-cell proliferation makes them a potential target for future therapeutic approaches. While synovial inflammation in osteoarthritis has already been reported more than 20 years ago [6, 7] and since several other studies have underlined the importance of inflammatory infiltrates in the disease [8,9,10], no significant advances in therapeutical approaches have been made in this regard.

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