1. Autoreactivity of Peripheral Helper T Cells in the Joints of Rheumatoid Arthritis
- Author
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Kazuhiro Kai, Yasuharu Nakashima, Jun Ichi Fukushi, Takahide Sakuragi, Hidetoshi Tsushima, Satoshi Ikemura, Tomoko Tsutsui, Hisakata Yamada, Toshifumi Fujiwara, Masakazu Kondo, Seiji Okada, Akihisa Haraguchi, Yasunobu Yoshikai, and Yukio Akasaki
- Subjects
CD4-Positive T-Lymphocytes ,Male ,endocrine system ,Programmed Cell Death 1 Receptor ,Immunology ,Receptors, Antigen, T-Cell ,Biology ,Proinflammatory cytokine ,Arthritis, Rheumatoid ,Pathogenesis ,03 medical and health sciences ,0302 clinical medicine ,Follicular phase ,medicine ,Humans ,Immunology and Allergy ,CXCL13 ,Cells, Cultured ,Aged ,Effector ,T-cell receptor ,T-Lymphocytes, Helper-Inducer ,Middle Aged ,Th1 Cells ,medicine.disease ,Chemokine CXCL13 ,In vitro ,Rheumatoid arthritis ,Cytokines ,Female ,Inflammation Mediators ,Signal Transduction ,030215 immunology - Abstract
Autoreactive CD4 T cells are thought to play pivotal roles in the pathogenesis of rheumatoid arthritis (RA). Recently, a subset of CD4 T cells that express high levels of programmed death-1 (PD-1) but are distinct from follicular helper T cells have been identified in the joints of RA patients and named peripheral helper T (Tph) cells. Because PD-1 is expressed on T cells chronically stimulated with the Ags, we tested a hypothesis that Tph cells are the pathogenic autoreactive CD4 T cells in RA. We found that human Tph cells in RA joints produce proinflammatory effector cytokines, including IFN-γ, TNF-α, and GM-CSF, in addition to B cell–helping cytokines, such as IL-21 and CXCL13. Flow cytometric analysis showed different bias of TCR Vβ usage between PD-1high Tph cells and PD-1low/neg CD4 T cells, including Th1 cells, in the joint or memory CD4 T cells in the peripheral blood, whereas there was little difference between the latter two subsets. In line with this, deep sequencing of TCR demonstrated an overlap of expanded clones between peripheral blood memory CD4 T cells and PD-1low/neg CD4 T cells but not Tph cells in the joint. Interestingly, Tph cells preferentially exhibited autologous MLR in vitro, which required recognition of self–MHC class II and was pronounced by blocking PD-1 signaling. Taken together, these results suggest that Tph cells are the pathogenic autoreactive CD4 T cells in RA, which expand locally in the joints and are regulated by PD-1 signaling.
- Published
- 2021
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