Galectin-9 regulates monosodium urate crystal-induced gouty inflammation through the modulation of Treg/Th17 ratio

Adel Abo Mansour, Federica Raucci, Anella Saviano, Samantha Tull, Francesco Maione, Asif Jilani Iqbal

Research output: Contribution to journalArticlepeer-review

84 Downloads (Pure)


Gout is caused by depositing monosodium urate (MSU) crystals within the articular area. The infiltration of neutrophils and monocytes drives the initial inflammatory response followed by lymphocytes. Interestingly, emerging evidence supports the view that imbalance of T helper 17 cells (Th17)/regulatory T cells (Treg) impacts the subsequent damage to target tissues. Galectin-9 (Gal-9) is a modulator of innate and adaptive immunity with both pro- and anti-inflammatory functions, dependent upon its expression and cellular location. However, the specific cellular and molecular mechanisms by which Gal-9 modulates the inflammatory response in the onset and progression of gouty arthritis has yet to be elucidated. In this study, we sought to comprehensively characterise the functional role of exogenous Gal-9 in an model of MSU crystal-induced gouty inflammation by monitoring neutrophils, monocytes and Th17/Treg recruited phenotypes and related cyto-chemokines profile. Treatment with Gal-9 revealed a dose-dependent reduction in joint inflammation scores, knee joint oedema and expression of different pro-inflammatory cyto-chemokines. Furthermore, flow cytometry analysis highlighted a significant modulation of infiltrating inflammatory monocytes (CD11b /CD115 /LY6-C ) and Th17 (CD4 /IL-17 )/Treg (CD4 /CD25 /FOXP-3 ) cells following Gal-9 treatment. Collectively the results presented in this study indicate that the administration of Gal-9 could provide a new therapeutic strategy for preventing tissue damage in gouty arthritic inflammation and, possibly, in other inflammatory-based diseases. [Abstract copyright: Copyright © 2021 Mansour, Raucci, Saviano, Tull, Maione and Iqbal.]
Original languageEnglish
Article number762016
Number of pages12
JournalFrontiers in immunology
Publication statusPublished - 28 Oct 2021

Bibliographical note

Funding Information:
AM is supported by a KSA government-funded scholarship. FR is supported by a University of Naples Federico II PhD scholarship in Pharmaceutical Sciences. AS is supported by a Dompé Farmaceutici S.p.A fellowship for PhD programme in “Nutraceuticals, functional foods and human health” (University of Naples Federico II). AI is supported by a Birmingham Fellowship.

Publisher Copyright:
© Copyright © 2021 Mansour, Raucci, Saviano, Tull, Maione and Iqbal.


  • MSU crystals
  • cyto-chemokines
  • galectin-9 (Gal-9)
  • gout
  • inflammation

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology


Dive into the research topics of 'Galectin-9 regulates monosodium urate crystal-induced gouty inflammation through the modulation of Treg/Th17 ratio'. Together they form a unique fingerprint.

Cite this