Review Article

Synovial Macrophages in Rheumatoid Arthritis: The Past, Present, and Future

Table 1

The functions of SMs in RA synovium.

Cell typeMediatorFunction

Polarization
 SMs (M1)TF and pathway: STAT1, IRF5, SOCS1, NF-κB pathwayProinflammation; glycolysis; iron retention
Cytokine: IL-1β, TNF-α, IL-12, IL-23
Chemokine: CXCL9/10/11, CCL5
Surface marker: MHCII
 SMs (M2)TF and pathway: STAT6, IRF4, SOCS3, KLF4, c-MycAnti-inflammation; oxidative phosphorylation; iron export
Cytokine: IL-4, IL-10
Chemokine: CCL17/22
Surface marker:CD206, CD163,MGL
Cell-cell communications
 Synovial fibroblasts (SF)IL-1β, TNF-αSMs promote SF proliferation.
 OsteoclastsIL-1β, IL-6, TNF-αSMs promote osteoclasts activation.
 MonocytesIL-1β, IL-8, TNF-α, CCL2SMs recruit monocytes.
 NeutrophilsIL-1β, IL-8, TNF-α, CCL2SMs recruit neutrophils.
 T cells (Th1 cells)TNF-α, IL-12SMs promote Th1 polarization.
 T cells (Th17 cells)IL-23SMs promote Th17 polarization.
 B cellsImmune complex and autoantibodyB cells activate SMs.