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IgD enhances the release of neutrophil extracellular traps (NETs) via FcδR in rheumatoid arthritis patients
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  • Wen wen Pan,
  • Qianling Xin,
  • Xiao xi Hu,
  • Jing Xu,
  • Jingjing He,
  • Zhaoying Chen,
  • Tao Li,
  • Wei Wei,
  • Yu-Jing Wu
Wen wen Pan
Anhui Medical University

Corresponding Author:[email protected]

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Qianling Xin
Anhui Medical University
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Xiao xi Hu
Anhui Medical University
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Jing Xu
Anhui Medical University
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Jingjing He
Anhui Medical University
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Zhaoying Chen
Anhui Medical University
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Tao Li
First Affiliated Hospital of Anhui Medical University
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Wei Wei
Anhui Medical University
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Yu-Jing Wu
Anhui Medical University
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Abstract

Background and Purpose Neutrophils and the release of neutrophil extracellular traps (NETs) play important roles in the pathogenesis of RA. However, IgD, which was abnormally higher in RA, has not been studied for its pathological role in neutrophil activation and NETs formation. Experimental Approach Peripheral blood of RA patients and healthy controls were collected and adjuvant-induced arthritis (AA) rat models were established. Body weights, the severity of arthritis of AA rats were monitored regularly. After being stimulated with IgD, expression of FcδR on neutrophils and NETs formation were analyzed with multiple approaches such as flow cytometry, scanning electron microscopy, western blot, and qPCR. IgD-Fc-Ig were used to block interactions between IgD-FcδR. Additionally, the effect of IgD-induced neutrophils or NETs on FLS was assayed. Key Results As a specific marker of NETs, the level of citrullinated histone H3 was positively correlated with sIgD and FcδR in RA patients. IgD enhances the release of NETs by activating neutrophils. IgD-Fc-Ig could significantly reduce NETs formation and FcδR expression on neutrophils in vitro. In vivo, IgD-Fc-Ig treatment significantly regulates the neutrophil activity and NETs formation. IgD-Fc-Ig could restrain IgD-induced neutrophil activation and NETs formation, thus inhibiting FLS proliferation. Conclusions and Implications Neutrophils were activated by IgD, which suggests that neutrophils play a role in inducing FLS proliferation in RA patients who have abnormally higher IgD levels, there by increasing the severity of the disease. Blocking FcδR inhibited neutrophil activation and may represent an additional attractive novel therapeutic strategy for the treatment of RA.
Jan 2023Published in International Immunopharmacology volume 114 on pages 109484. 10.1016/j.intimp.2022.109484