S02:6 | Monocyte-Driven Inflammation and Inflammasome Activation in ANCA-Positive EGPA: Evidence of Persistent Immune Activation During Remission

Chiara Baggio¹, Luca Iorio¹, Carlotta Boscaro^2|3, Federica Davanzo¹, Marta Tonello¹, Mattia Albiero⁴, Andrea Doria¹, Paolo Sfriso¹, Roberto Padoan¹, Francesca Oliviero¹ | ¹Rheumatology Unit, Department of Medicine, University of Padova, Italy; ²Department of Medicine, University of Padova, Italy; ³Veneto Institute of Molecular Medicine, Laboratory of Experimental Diabetology, Italy; ⁴Department of Surgery, Oncology, and Gastroenterology, University of Padova, Italy

Aim of the study. Anti-neutrophil cytoplasm antibody-associated vasculitis (AAV) comprises a group of rare autoimmune disorders characterized by necrotizing inflammation of small vessels and multi-organ involvement. Although neutrophils are considered the main effector cells in AAV pathogenesis, emerging evidence suggests that monocytes may also contribute to the initiation and persistence of autoimmunity. Therefore, this study aimed to investigate leukocyte morphological alterations, with a focus on neutrophil subsets and nuclear abnormalities, across AAV subtypes. Additionally, we assessed the immunological effects of plasma from ANCA-positive and ANCA-negative EGPA patients on peripheral blood mononuclear cells (PBMCs) from healthy donors (HDs), to identify mechanisms underlying persistent immune activation.

Materials and Methods. Peripheral blood samples from AAV patients (n = 60) and HD (n = 28) were evaluated by May-Grünwald Giemsa staining. HD PBMCs were stimulated with plasma from EGPA patients (ANCA ++, ANCA +, ANCA-), controls positive for antiphospholipid antibodies (IgG) and HDs. Cell death was assessed by Trypan Blue, LDH, IL-1 release, and Annexin V/PI staining. MTT assays measured cell metabolism. ELISA was used to quantify IL-1, IL-18, IL-1, VEGF, and CCL-23 in plasma and PBMC supernatants. Chemotaxis assays evaluated cell migration to conditioned media, with or without pharmacological inhibition using Anakinra (IL-1 receptor antagonist) or the CCR1 inhibitor J113863.

Results. EGPA patients displayed a distinct neutrophil phenotype with increased hypersegmentation, vacuolization, and presence of immature neutrophils. Plasma from ANCA-positive EGPA patients induced significantly increased PBMC death, reduced metabolic activity, and increased release of inflammasome-related cytokines compared to ANCA-negative patients and controls. Conditioned media from PBMCs stimulated with ANCA+ plasma promoted significant PBMC migration, which was positively correlated with IL-1, IL-18, IL-1, VEGF, and CCL-23 levels. Notably, both Anakinra and CCR1 inhibition significantly reduced plasma-induced PBMC migration, suggesting a key role for IL-1 signaling and CCL-23/CCR1 axis in EGPA-driven chemotaxis.

Conclusions. Our findings demonstrate persistent subclinical immune activation and inflammasome engagement in mononuclear cells stimulated with plasma from EGPA ANCA + patients, even during remission. This supports the use of cytokine and chemokine profiling as potential biomarkers of immune activity and relapse risk. EGPA should be considered a distinct immunopathological entity within the AAV spectrum, with implications for personalized treatment.