Publications by authors named "Baltasar Lopez-Navarro"

Monocyte-derived macrophages play a key pathogenic role in inflammatory diseases. In the case of rheumatoid arthritis (RA), the presence of specific synovial tissue-infiltrating macrophage subsets is associated with either active disease or inflammation resolution. JAK inhibitors (JAKi) are the first targeted synthetic disease-modifying antirheumatic drugs (tsDMARD) approved for treatment of RA with comparable efficacy to biologics.

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Macrophages constitute important immune cell targets of the antifolate methotrexate (MTX) in autoimmune diseases, including rheumatoid arthritis. Regulation of folate/MTX metabolism remains poorly understood upon pro-inflammatory (M1-type/GM-CSF-polarized) and anti-inflammatory (M2-type/M-CSF-polarized) macrophages. MTX activity strictly relies on the folylpolyglutamate synthetase (FPGS) dependent intracellular conversion and hence retention to MTX-polyglutamate (MTX-PG) forms.

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Article Synopsis
  • * MTX alters the profile of macrophages, shifting them from a tumor-promoting type ("large TAM") to an antitumoral type ("small TAM") with specific gene expressions.
  • * The reprogramming effect of MTX is linked to a reduction in the M-CSF receptor CSF1R and involves the GSK3β pathway, suggesting that targeting this pathway could enhance antitumor strategies that focus on macrophages.
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