Functionally distinct disease-associated fibroblast subsets in rheumatoid arthritis.

Nat Commun
Authors
Keywords
Abstract

Fibroblasts regulate tissue homeostasis, coordinate inflammatory responses, and mediate tissue damage. In rheumatoid arthritis (RA), synovial fibroblasts maintain chronic inflammation which leads to joint destruction. Little is known about fibroblast heterogeneity or if aberrations in fibroblast subsets relate to pathology. Here, we show functional and transcriptional differences between fibroblast subsets from human synovial tissues using bulk transcriptomics of targeted subpopulations and single-cell transcriptomics. We identify seven fibroblast subsets with distinct surface protein phenotypes, and collapse them into three subsets by integrating transcriptomic data. One fibroblast subset, characterized by the expression of proteins podoplanin, THY1 membrane glycoprotein and cadherin-11, but lacking CD34, is threefold expanded in patients with RA relative to patients with osteoarthritis. These fibroblasts localize to the perivascular zone in inflamed synovium, secrete proinflammatory cytokines, are proliferative, and have an in vitro phenotype characteristic of invasive cells. Our strategy may be used as a template to identify pathogenic stromal cellular subsets in other complex diseases.

Year of Publication
2018
Journal
Nat Commun
Volume
9
Issue
1
Pages
789
Date Published
2018 02 23
ISSN
2041-1723
DOI
10.1038/s41467-018-02892-y
PubMed ID
29476097
PubMed Central ID
PMC5824882
Links
Grant list
R01 AR046713 / AR / NIAMS NIH HHS / United States
R01 CA170653 / CA / NCI NIH HHS / United States
P30 AR070253 / AR / NIAMS NIH HHS / United States
U19 AI111224 / AI / NIAID NIH HHS / United States
T32 HG002295 / HG / NHGRI NIH HHS / United States
R01 AR065538 / AR / NIAMS NIH HHS / United States
U01 GM092691 / GM / NIGMS NIH HHS / United States
F31 AR070582 / AR / NIAMS NIH HHS / United States
R01 AR063759 / AR / NIAMS NIH HHS / United States
U01 HG009379 / HG / NHGRI NIH HHS / United States
R01 AR063709 / AR / NIAMS NIH HHS / United States
Wellcome Trust / United Kingdom
K08 AR063696 / AR / NIAMS NIH HHS / United States
UH2 AR067691 / AR / NIAMS NIH HHS / United States