Evidence map›Paper›PMID 38216750›Full record

ArticleRheumatology (Oxford, England)2025

S100A8/A9 drives monocytes towards M2-like macrophage differentiation and associates with M2-like macrophages in osteoarthritic synovium.

Nienke J T van Kooten, Arjen B Blom, Iris J Teunissen van Manen, Wessel F Theeuwes, Johannes Roth, Mark A J Gorris, Birgitte Walgreen, Annet W Sloetjes, Monique M Helsen, Elly L Vitters and 5 more

Abstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Nienke J T van KootenExperimental Rheumatology, Radboud university medical center, Nijmegen, The Netherlands.
Arjen B BlomExperimental Rheumatology, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0001-9613-5070
Iris J Teunissen van ManenExperimental Rheumatology, Radboud university medical center, Nijmegen, The Netherlands.
Wessel F TheeuwesExperimental Rheumatology, Radboud university medical center, Nijmegen, The Netherlands.
Johannes RothInstitute of Immunology, University of Münster, Münster, Germany.
Mark A J GorrisMedical BioSciences, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0003-3621-226X
Birgitte WalgreenExperimental Rheumatology, Radboud university medical center, Nijmegen, The Netherlands.
Annet W SloetjesExperimental Rheumatology, Radboud university medical center, Nijmegen, The Netherlands.
Monique M HelsenExperimental Rheumatology, Radboud university medical center, Nijmegen, The Netherlands.
Elly L VittersExperimental Rheumatology, Radboud university medical center, Nijmegen, The Netherlands.
Peter L E M van LentExperimental Rheumatology, Radboud university medical center, Nijmegen, The Netherlands.
Sander KoëterOrthopedics, Canisius Wilhelmina Ziekenhuis, Nijmegen, The Netherlands.
Peter M van der KraanExperimental Rheumatology, Radboud university medical center, Nijmegen, The Netherlands.
Thomas VoglInstitute of Immunology, University of Münster, Münster, Germany.
Martijn H J van den BoschExperimental Rheumatology, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0001-8074-826X

Funding

Canisius Wilhelmina ZiekenhuisDutch Research CouncilNWORadboudumcRegional Junior ResearcherZonMW VENI 09150161810015
6 · The paper itself

Abstract

objectivesMacrophages are key orchestrators of the osteoarthritis (OA)-associated inflammatory response. Macrophage phenotype is dependent on environmental cues like the inflammatory factor S100A8/A9. Here, we investigated how S100A9 exposure during monocyte-to-macrophage differentiation affects macrophage phenotype and function.

methodsOA synovium cellular composition was determined using flow cytometry and multiplex immunohistochemistry. Healthy donor monocytes were differentiated towards M1- and M2-like macrophages in the presence of S100A9. Macrophage markers were measured using flow cytometry, and phagocytic activity was determined using pHrodo Red Zymosan A BioParticles. Gene expression was determined using qPCR. Protein secretion was measured using Luminex multianalyte analysis and ELISA.

resultsMacrophages were the dominant leucocyte subpopulation in OA synovium. They mainly presented with an M2-like phenotype, although the majority also expressed M1-like macrophage markers. Long-term exposure to S100A9 during monocyte-to-macrophage differentiation increased M2-like macrophage markers CD163 and CD206 in M1-like and M2-like differentiated cells. In addition, M1-like macrophage markers were increased in M1-like, but decreased in M2-like differentiated macrophages. In agreement with this mixed phenotype, S100A9 stimulation modestly increased expression and secretion of pro-inflammatory markers and catabolic enzymes, but also increased expression and secretion of anti-inflammatory/anabolic markers. In accordance with the upregulation of M2-like macrophage markers, S100A9 increased phagocytic activity. Finally, we indeed observed a strong association between S100A8 and S100A9 expression and the M2-like/M1-like macrophage ratio in end-stage OA synovium.

conclusionChronic S100A8/A9 exposure during monocyte-to-macrophage differentiation favours differentiation towards an M2-like macrophage phenotype. The properties of these cells could help explain the catabolic/anabolic dualism in established OA joints with low-grade inflammation.

Indexed as

Calgranulin ACalgranulin BCell DifferentiationMacrophagesMonocytesSynovial MembraneAgedAntigens, CDAntigens, Differentiation, MyelomonocyticCD163 AntigenFemaleFlow CytometryHumansLectins, C-TypeMaleMannose-Binding LectinsAntigens, CDAntigens, Differentiation, MyelomonocyticCalgranulin ACalgranulin BCD163 AntigenLectins, C-TypeMannose-Binding LectinsMannose ReceptorReceptors, Cell SurfaceS100A8 protein, humanS100A9 protein, humaninflammationmacrophage differentiationosteoarthritisS100A8/A9synovium

Identifiers

PMID38216750
PMCPMC11701306

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.