The immunoregulatory cytokine IL-41 (also known as meteorin-like protein) is expressed at high levels in the synovium of patients with psoriatic arthritis (PsA), compared with patients with osteoarthritis (OA). IL-41 is also present at the enthesis, the primary inflammatory site of PsA, where it is produced primarily by entheseal stromal cells. Expression of IL-41 by entheseal stromal cells can be further induced by stimulation with IL-17A/F and TNF. The functional effects of IL-41 in psoriatic inflammation remain unclear.