Origin and function of synovial macrophage subsets during inflammatory joint disease

Adv Immunol. 2019:143:75-98. doi: 10.1016/bs.ai.2019.08.006. Epub 2019 Sep 13.

Abstract

Mononuclear phagocytes, including monocytes and macrophages, are a central component of the host's innate immune system designated to protect against invading pathogens. However, these cells do not only interact with various parts of the innate and adaptive immune system, but also fulfill indispensable duties during the control of tissue homeostasis and organ function. Moreover, macrophages are crucially involved in tissue remodeling and repair in response to damage. Simultaneously, mononuclear phagocytes might also contribute to the pathogenesis of various inflammatory and autoimmune diseases. In particular, their potential role in inflammatory joint diseases such as rheumatoid arthritis (RA) has drawn increasing attention and substantially shaped our general understanding of the role of monocytes and macrophages during health and disease. This review summarizes our current knowledge about the origin and function of mononuclear phagocytes within the joint and addresses their involvement in joint inflammation.

Keywords: Inflammation; Macrophages; Monocytes; Rheumatoid arthritis; Synovial macrophages; Synovial tissue; Tissue resident macrophages.

Publication types

  • Review

MeSH terms

  • Animals
  • Arthritis, Rheumatoid / immunology*
  • Autoimmune Diseases / metabolism
  • Cellular Microenvironment / immunology
  • Cytokines / metabolism
  • Humans
  • Immunity, Innate
  • Joint Capsule / cytology*
  • Joint Capsule / immunology
  • Macrophages / cytology
  • Macrophages / immunology*
  • Macrophages / metabolism
  • Monocytes / cytology
  • Monocytes / immunology*
  • Monocytes / metabolism
  • Synovial Fluid / cytology*
  • Synovial Fluid / immunology

Substances

  • Cytokines