Extracellular vesicles in osteoarthritis synovial fluid contain both transmembrane and intravesical TNF-α

Objective: We previously identified extracellular vesicles (EVs) as a key source of TNF-α in the plasma of both knee osteoarthritis (OA) patients and healthy individuals. Building on these findings, this study aimed to evaluate the presence of surface-bound transmembrane TNF-α (TM-TNF-α) and intrave...

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Main Authors: Xin Zhang, Virginia Byers Kraus
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Osteoarthritis and Cartilage Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2665913125000482
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author Xin Zhang
Virginia Byers Kraus
author_facet Xin Zhang
Virginia Byers Kraus
author_sort Xin Zhang
collection DOAJ
description Objective: We previously identified extracellular vesicles (EVs) as a key source of TNF-α in the plasma of both knee osteoarthritis (OA) patients and healthy individuals. Building on these findings, this study aimed to evaluate the presence of surface-bound transmembrane TNF-α (TM-TNF-α) and intravesical TNF-α in EVs from OA synovial fluid (SF). Methods: Using high-resolution flow cytometry, we rigorously quantified the percentages and integrated mean fluorescence intensity (iMFI) of surface-bound, intravesical, and total TNF-α forms in EVs isolated from SF of 25 knee OA patients. CZ CELLxGENE and OA joint tissue-derived single-cell and single-nuclei RNA sequencing data were used to analyze TNF gene expression. Results: TNF is expressed across multiple cell types. In OA joints it is predominantly expressed by synoviocytes, with TNF-α present in the SF EV pool. TM-TNF-α was consistently detected on SF EVs using three distinct TNF-α antibodies, although its frequency and iMFI were significantly lower than the corresponding intravesical TNF-α (Friedman test with Benjamini-Hochberg correction, FDR <0.05). The average percentages (and range) of EVs expressing TNF-α, as detected by the three anti-TNF-α antibodies, were 2.57 ​% (0.09–37.08 ​%) for TM-TNF-α+, 8.62 ​% (0.38–43.64 ​%) for intravesical TNF-α+, and 14.42 ​% (0.71–44.32 ​%) for total EV TNF-α+. Interestingly, TM-TNF-α frequencies on SF EVs were similar to those observed on various immune cell subsets in peripheral blood. Conclusions: While intravesical TNF-α may evade TNF-α inhibitors, TNF-α carried by EVs retains pathogenic potential, either by activating pro-inflammatory pathways via TM-TNF-α receptor engagement on target cells, or through the transfer of TNF-α cargo to recipient cells.
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spelling doaj-art-7d31469b0aba46f9941b78be7adb63172025-08-20T02:32:54ZengElsevierOsteoarthritis and Cartilage Open2665-91312025-06-017210061210.1016/j.ocarto.2025.100612Extracellular vesicles in osteoarthritis synovial fluid contain both transmembrane and intravesical TNF-αXin Zhang0Virginia Byers Kraus1Duke Molecular Physiology Institute, Duke University School of Medicine, Duke University, Durham, NC, USA; Department of Orthopaedic Surgery, Duke University School of Medicine, Duke University, Durham, NC, USA; Corresponding author. Duke University, Durham, NC 27701, USA.Duke Molecular Physiology Institute, Duke University School of Medicine, Duke University, Durham, NC, USA; Department of Orthopaedic Surgery, Duke University School of Medicine, Duke University, Durham, NC, USA; Department of Medicine, Duke University School of Medicine, Duke University, Durham, NC, USAObjective: We previously identified extracellular vesicles (EVs) as a key source of TNF-α in the plasma of both knee osteoarthritis (OA) patients and healthy individuals. Building on these findings, this study aimed to evaluate the presence of surface-bound transmembrane TNF-α (TM-TNF-α) and intravesical TNF-α in EVs from OA synovial fluid (SF). Methods: Using high-resolution flow cytometry, we rigorously quantified the percentages and integrated mean fluorescence intensity (iMFI) of surface-bound, intravesical, and total TNF-α forms in EVs isolated from SF of 25 knee OA patients. CZ CELLxGENE and OA joint tissue-derived single-cell and single-nuclei RNA sequencing data were used to analyze TNF gene expression. Results: TNF is expressed across multiple cell types. In OA joints it is predominantly expressed by synoviocytes, with TNF-α present in the SF EV pool. TM-TNF-α was consistently detected on SF EVs using three distinct TNF-α antibodies, although its frequency and iMFI were significantly lower than the corresponding intravesical TNF-α (Friedman test with Benjamini-Hochberg correction, FDR <0.05). The average percentages (and range) of EVs expressing TNF-α, as detected by the three anti-TNF-α antibodies, were 2.57 ​% (0.09–37.08 ​%) for TM-TNF-α+, 8.62 ​% (0.38–43.64 ​%) for intravesical TNF-α+, and 14.42 ​% (0.71–44.32 ​%) for total EV TNF-α+. Interestingly, TM-TNF-α frequencies on SF EVs were similar to those observed on various immune cell subsets in peripheral blood. Conclusions: While intravesical TNF-α may evade TNF-α inhibitors, TNF-α carried by EVs retains pathogenic potential, either by activating pro-inflammatory pathways via TM-TNF-α receptor engagement on target cells, or through the transfer of TNF-α cargo to recipient cells.http://www.sciencedirect.com/science/article/pii/S2665913125000482Flow cytometryKnee osteoarthritisCytokineTNF-α
spellingShingle Xin Zhang
Virginia Byers Kraus
Extracellular vesicles in osteoarthritis synovial fluid contain both transmembrane and intravesical TNF-α
Osteoarthritis and Cartilage Open
Flow cytometry
Knee osteoarthritis
Cytokine
TNF-α
title Extracellular vesicles in osteoarthritis synovial fluid contain both transmembrane and intravesical TNF-α
title_full Extracellular vesicles in osteoarthritis synovial fluid contain both transmembrane and intravesical TNF-α
title_fullStr Extracellular vesicles in osteoarthritis synovial fluid contain both transmembrane and intravesical TNF-α
title_full_unstemmed Extracellular vesicles in osteoarthritis synovial fluid contain both transmembrane and intravesical TNF-α
title_short Extracellular vesicles in osteoarthritis synovial fluid contain both transmembrane and intravesical TNF-α
title_sort extracellular vesicles in osteoarthritis synovial fluid contain both transmembrane and intravesical tnf α
topic Flow cytometry
Knee osteoarthritis
Cytokine
TNF-α
url http://www.sciencedirect.com/science/article/pii/S2665913125000482
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