Research Article

The Expansion of Myeloid-Derived Suppressor Cells Is Associated with Joint Inflammation in Rheumatic Patients with Arthritis

Table 1

Characteristics of the patients and controls included in the flow cytometric analysis.

CharacteristicsRheumatoid ArthritisAnkylosing SpondylitisOsteoarthritisSystemic Lupus ErythematosusGout/HyperuricemiaHealthy Control
TotalWith ArthritisWithout ArthritisTotalGoutHyperuricemia

Number of cases (n)3121142411131991025
Gender (M/F) (n)9/2213/86/83/211/102/1113/66/37/313/12
Age (years)43.1±16.330.9±11.060.9±10.729.6±9.027.9±6.731.1±10.638.9±12.439.7±12.738.2±12.836.7±14.0
Disease Duration (years)12.5±11.76.0±5.47.9±7.44.9±6.43.2±3.66.4±7.98.9±9.910.9±9.17.1±10.7NA
ESR (mm/h)31.7±30.514.9±11.819.6±9.625.1±18.625.3±19.425.0±18.610.9±5.912.7±7.99.4±2.8NA
CRP (mg/L)24.0±45.911.2±8.215.1±9.814.9±12.723.0±13.87.9±5.9##9.1±7.613.7±8.64.8±2.4###NA
Total Joint Pain (scores)5.0±2.75.4±2.55.0±2.4NA6.6±2.7NANA4.4±1.5NANA
Swollen Joint Counts (n)1.6±1.5NA0.7±0.8NA2.0±1.7NANA1.4±0.9NANA
HAQ (scores)0.9±0.4NANANANANANANANANA
DAS28 (scores)3.7±1.0NANANANANANANANANA
IgM RF (IU/ml)566.3±1027.9NANANANANANANANANA
ACPA (U/ml)58.6±38.0NANANANANANANANANA
HLA-B27 (+/-) (n)NA16/5NANANANANANANANA
ASDAS (scores)NA2.9±0.9NANANANANANANANA
BASFI (scores)NA4.3±1.6NANANANANANANANA
SLEDAI (scores)NANANA6.6±3.75.5±2.57.5±4.4NANANANA
ANA (U/ml)NANANA205.3±145.5171.0±121.9234.2±162.0NANANANA
Anti-dsDNA (U/ml)NANANA78.3±61.471.1±54.584.1±68.3NANANANA
C3 (g/L)NANANA0.6±0.30.6±0.20.6±0.1NANANANA
SUA(μmol/L)NANANANANANA538.6±133.6507.1±126.1566.9±140.4NA
NSAIDs (n, %)20 (64.5%)17 (81.0%)8 (57.1%)NA6 (54.5%)NANA7 (77.8%)NANA
DMARDs (n, %)24 (77.4%)9 (42.9%)NA15 (62.5%)7 (63.6%)8 (61.5%)NANANANA
GCs (n, %)NANANA24 (100%)11 (100%)13 (100%)NANANANA
UALs (n, %)NANANANANANA16 (84.2%)9 (100%)7 (70%)NA
MDSC (%)6.56±6.774.04±2.413.46±2.142.56±2.183.97±2.471.36±0.79##2.12±2.453.36±3.130.99±0.58#1.46±0.96
M-MDSC (%)2.52±3.811.84±1.700.70±0.531.06±1.532.01±1.870.26±0.18###0.53±0.600.84±0.700.25±0.33##0.35±0.35
G-MDSC (%)1.13±1.640.82±1.020.43±0.330.49±0.410.44±0.280.54±0.500.22±0.210.33±0.260.12±0.06#0.18±0.14

Note: ESR, erythrocyte sedimentation rate; CRP, C-reactive protein; HAQ, health assessment questionnaire; DAS28, disease activity score in 28 joints; RF, rheumatoid factor; ACPA, anti-citrullinated protein antibody; HLA-B27, human leukocyte antigen B27; ASDAS, ankylosing spondylitis disease activity score; BASFI, bath ankylosing spondylitis functional index; SLEDAI, systemic lupus erythematosus disease activity index; ANA, antinuclear antibody; Anti-dsDNA, anti-double stranded DNA antibody; C3, complement C3; SUA, serum uric acid; NSAIDs, nonsteroidal anti-inflammatory drugs; DMARDs, disease-modifying antirheumatic drugs; GCs, glucocorticoid drugs; UALs, uric-acid-lowering drugs; MDSC, myeloid derived suppressor cell; M-MDSC, monocytic MDSC; G-MDSC, granulocytic MDSC; Total Joint Pain was assessed on a visual analog scale (0-10 cm); NA, not available; the percentage of patients treated with related drugs more than a specified period of time; compared with healthy control; # compared with the systemic lupus erythematosus group with arthritis or gout; or #p<0.05, or ##p<0.01, and or ###p<0.001.