ResearchIn-Press PreviewBone biology
Open Access |
10.1172/jci.insight.198245
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Zou, Y. in: PubMed | Google Scholar
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Lin, H. in: PubMed | Google Scholar
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Su, J. in: PubMed | Google Scholar
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Wang, J. in: PubMed | Google Scholar
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Zeng, Q. in: PubMed | Google Scholar
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Feng, T. in: PubMed | Google Scholar
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Lei, Y. in: PubMed | Google Scholar
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Ma, J. in: PubMed | Google Scholar
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Pan, H. in: PubMed | Google Scholar
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Xu, H. in: PubMed | Google Scholar
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Dai, L. in: PubMed | Google Scholar
1Department of Rheumatology and Immunology, Southern Medical University, Guangzhou, China
2Department of Rheumatology, Sun Yat-Sen University, Guangzhou, China
3State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
4Department of Rheumatology and Immunology, Sun Yat-Sen University, Guangzhou, China
5Department of Rheumatology and Immunology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
Find articles by Li, Y. in: PubMed | Google Scholar
Published April 23, 2026 - More info
Fibroblast-like synoviocytes (FLSs) are crucial in driving synovial inflammation and joint damage in rheumatoid arthritis (RA). This study explored the functions and underlying mechanisms of GALNT1-mediated O-glycosylation, which is markedly upregulated in RA FLSs, in synovial aggression and subsequent experimental joint damage. Targeted suppression of GALNT1 effectively curtailed migration and invasion in RA FLSs and mitigated arthritis severity in a rat collagen-induced arthritis (CIA) model. Mechanistically, NEK9 was identified as a pivotal substrate and downstream effector of GALNT1, affecting the aggressive phenotype of RA FLSs. In vitro experiments further demonstrated that O-glycosylation of NEK9, mediated by GALNT1, promotes the pathogenic phenotype of RA FLSs by promoting cytoskeleton reorganization and restraining excessive endoplasmic reticulum (ER) stress activation. Our study provides mechanistic insights into the activation of RA FLSs and identifies GALNT1 as a potential therapeutic target for RA.