Synovial macrophage diversity and activation of M-CSF signaling in post-traumatic osteoarthritis

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    eLife assessment

    This study provides useful information by identifying the cell type (macrophages) in synovial tissues involved in the pathogenesis of post-traumatic osteoarthritis (OA) and clarifying distinct transcriptomic signatures that may be a good therapeutic target for OA. However, the analysis performed so far is incomplete, with a main weakness being the lack of data to confirm the authors' speculation about the underlying mechanisms.

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Abstract

Objective

Synovium is home to immune and stromal cell types that orchestrate inflammation following a joint injury; in particular, macrophages are central protagonists in this process. We sought to define the cellular and temporal dynamics of the synovial immune niche in a mouse model of post-traumatic osteoarthritis (PTOA), and to identify stromal-immune crosstalk mechanisms that coordinate macrophage function and phenotype.

Design

We induced PTOA in mice using a non-invasive tibial compression model of anterior cruciate ligament rupture (ACLR). Single cell RNA-seq and flow cytometry were used to assess immune cell populations in healthy (Sham) and injured (7d and 28d post-ACLR) synovium. Characterization of synovial macrophage polarization states was performed, alongside computational modeling of macrophage differentiation, as well as implicated transcriptional regulators and stromal-immune communication axes.

Results

Immune cell types are broadly represented in healthy synovium, but experience drastic expansion and speciation in PTOA, most notably in the macrophage portion. We identified several polarization states of macrophages in synovium following joint injury, underpinned by distinct transcriptomic signatures, and regulated in part by stromal-derived macrophage colony-stimulating factor signaling. The transcription factors Pu.1, Cebpα, Cebpβ, and Jun were predicted to control differentiation of systemically derived monocytes into pro-inflammatory synovial macrophages.

Conclusions

We defined different synovial macrophage subpopulations present in healthy and injured mouse synovium. Nuanced characterization of the distinct functions, origins, and disease kinetics of macrophage subtypes in PTOA will be critical for targeting these highly versatile cells for therapeutic purposes.

Article activity feed

  1. eLife assessment

    This study provides useful information by identifying the cell type (macrophages) in synovial tissues involved in the pathogenesis of post-traumatic osteoarthritis (OA) and clarifying distinct transcriptomic signatures that may be a good therapeutic target for OA. However, the analysis performed so far is incomplete, with a main weakness being the lack of data to confirm the authors' speculation about the underlying mechanisms.

  2. Reviewer #1 (Public Review):

    Summary:
    The authors recently reported a scRNA-seq-based study focused on synovial fibroblasts using a mouse model of post-traumatic OA (Ref. 21). In the present manuscript, they reanalyzed the scRNA-seq data to investigate the diversity and roles of macrophages. In addition to their original scRNA-seq data (Ref. 21), they utilized the deposited data of other OA or RA models (Ref. 25-27) and compared cell types in the synovium. The authors extracted the macrophage/monocyte group, compared differentially expressed genes (DEGs) between OA and RA synovium, and analyzed macrophage subsets, including trajectory analysis. They further estimated the crosstalk between stromal and immune cells via M-CSF signaling, and transcription factors for monocyte differentiation.

    Strengths:
    The descriptions are comprehensive, based on the scRNA-seq data including the original and other independent studies.

    Weaknesses:
    Meanwhile, methods of sample preparation must be different, for example, the extent and location of excised synovium. The comparison with other studies is meaningful and informative; however, caution should be exercised regarding the potentially significant impact of methodological differences on the analysis results.

    The various data obtained from these technologies are comprehensive and useful; however, they are just estimates. Without confirmation by experiments, it is impossible to determine how much of it can be believed. This issue is not limited to this paper.

    Most of all signaling pathways and molecules described in the latter part of this study are previously known.

  3. Reviewer #2 (Public Review):

    Summary:
    The manuscript by Knights et al set out to identify the specific immune cells and their contribution to the development of osteoarthritis. They performed a comprehensive analysis of scRNA-seq and flow cytometry using different stages of the PTOA model and sought to identify specific synovial macrophages in OA. Computational analysis revealed that M-CSF signaling in synovium plays an important role in stromal-immune crosstalk in OA. They also found that four transcription factors including Pu.1, Cebp-alpha, Cebp-beta, and Jun regulate the differentiation of monocytes into pro-inflammatory synovial macrophages in OA.

    Strengths:
    The main strength of this study is the profiling of immune cells which will be a valuable resource for better understanding the pathogenesis of OA. The work is technically sound, and the level of analysis of gene expression, clustering, cell-cell communication, and dynamic changes in gene modules over time is state-of-the-art.

    The reviewer appreciates that the authors uncovered the transcriptional network that regulates the differentiation of synovial macrophages in OA. In addition, the identification of M-CSF signaling as a major crosstalk axis in OA development is also intriguing.

    Weaknesses:
    Although the scRNA-seq analysis of immune cells in OA is quite convincing, the data has been rather descriptive and superficial at this stage. The authors did not show the in vivo significance of their findings in OA development.