“…In the pathology of RA, various types of cells, including inflammatory cells (e.g., macrophages and T cells) and vascular endothelial cells, are activated and with an associated change expression of cell surface receptors, including those for scavenging albumin (gp18, gp30, SPARC, FcRn, gp60, the Megalin/Cubilin complex) 25 - 26 âthese receptors increase endocytosis, transcytosis, and catabolism of albumin. Elevated gp60 and SPARC in the synovium fluid of RA patients and murine CIA model work to transports albumin across the endothelial barrier into the interstitium (Gp60) and SPARC enhances the uptake of albumin into immune cells in the RA synovium 24 , 26 . Albumin-based NPs can be taken up via the SPARC-mediated mechanism 60 and directly internalized by phagocytic cells via interactions with FcRn receptors, or after opsonization by IgG, and eventually sequestered within the endo-lysosomal compartment.…”