13:40 - 15:10
Room: ANA Crowne Plaza “Ohtori” Room B
Workshop Session
Chair/s:
John A. Hamilton, Yoshiya Tanaka
Distinct single cell gene expression signatures of monocyte subsets differentiate between TNF-alpha inhibitor treatment response groups in Rheumatoid Arthritis
Theresa L. Wampler Muskardin1, Wei Fan5, Zhongbo Jin4, Mark A. Jensen2, Jessica M. Dorschner3, Yogita Ghodke-Puranik3, Danielle Vsetecka3, Timothy B. Niewold2
1NYU Langone Medical Center, Department of Medicine, Division of Rheumatology, New York, United States, 2NYU Langone Medical Center, Department of Medicine, Colton Center for Autoimmunity, New York, United States, 3Mayo Clinic, Department of Medicine, Division of Rheumatology, Rochester, United States, 4University of Florida School of Medicine, Department of Pathology, Immunology, and Laboratory Medicine, Gainesville, United States, 5Shanghai Jiao Tong University, School of Medicine, Ren Ji Hospital, Department of Rheumatology, Shanghai, China

Our group demonstrated that pre-treatment serum type I IFN-β/α ratio>1.3 predicts non-response to anti-TNFα therapy (TNFi) in RA patients. However, mechanisms that underlie the IFN-β/α ratio that predicts response are unknown. Effects of IFN on uncommon cell populations may be masked in whole blood or mixed cell populations. We used single cell analysis to investigate whether monocyte gene expression differs significantly between RA patients according to their pre-TNFi serum IFN-β/α ratio. Single classical (CL) and non-classical (NC) blood-derived monocytes were isolated from seropositive RA subjects prior to biologic therapy. Subjects were grouped by pre-TNFi serum IFN-β/α ratio: IFN-β/α>1.3(n=6) and IFN-β/α<1.3(n=9). 87 target genes were analyzed. Genes that varied significantly between groups by categorical analyses were tested in multivariate logistic regression models. JAK1,IL1A,TLR2,CD32A,CD36,CXCR3,IL8,IRAK1, and TYK2 expression were retained in the mixed monocyte gene expression model for differentiating between groups. JAK1 and IL1A were also retained in the models from monocyte subsets. TLR9,STAT1, and FCER were retained in the CL model. STAT2 and IFI27 were retained in the NC model. Regression models from the monocyte subsets provided increased discriminatory potential in comparison to the mixed monocyte model. Within-cell co-expression patterns demonstrate biological differences in monocyte subsets of RA patients with an IFN-β/α>1.3, the ratio of type I IFNs which predicts non-response to TNFi. When monocyte subsets were analyzed separately, differentiation by gene expression was strongest and distinct expression signatures were identified, suggesting that further study of monocyte subsets will illuminate molecular differences that determine response to TNFi in RA. A better understanding of mechanisms that underlie the IFN-β/α ratio that determines treatment response should allow us to focus down to a more specific marker that would be easier to measure, and, may reveal other targets for therapy. This work will help to develop a more individualized approach to treatment in RA.


Reference:
Tu-WS9-4
Session:
Workshop 9, “Anti-cytokine therapy for inflammatory human diseases”
Presenter/s:
Theresa L. Wampler Muskardin
Presentation type:
Oral Presentation
Room:
ANA Crowne Plaza “Ohtori” Room B
Chair/s:
John A. Hamilton, Yoshiya Tanaka
Date:
Tuesday, 31 October 2017
Time:
14:25 - 14:40
Session times:
13:40 - 15:10