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. 2023 Feb 8;14:691. doi: 10.1038/s41467-023-36257-x

Fig. 7. Schematic proposal for the function of E4 ACPA in effector arthritis.

Fig. 7

In collagen antibody-induced arthritis (CAIA), macrophages are activated by LPS-mediated TLR signaling and arthritogenic immune complexes, leading to an increased secretion of PAD4. PAD4-mediated citrullination generates antigens that could be recognized by ACPAs. E4 binds to certain group of citrullinated antigens (e.g., ENO1) and forms local immune complexes that preferably interact with the FCGR2B on activated macrophages, delivering regulatory signals to macrophages, promoting IL-10 secretion and reducing osteoclastogenesis. The graph was created and licensed with Biorender.com.