Use of Soluble Peptide-DR4 Tetramers to Detect Synovial T Cells Specific for Cartilage Antigens in Patients with Rheumatoid Arthritis

Considerable evidence indicates that CD4+T cells are important in the pathogenesis of rheumatoid arthritis (RA), but the antigens recognized by these T cells in the joints of patients remain unclear. Previous studies have suggested that type II collagen (CII) and human cartilage gp39 (HCgp39) are am...

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Veröffentlicht in:Proceedings of the National Academy of Sciences - PNAS 2000-01, Vol.97 (1), p.291-296
Hauptverfasser: Kotzin, Brian L., Falta, Michael T., Crawford, Frances, Rosloniec, Edward F., Bill, Jerry, Marrack, Philippa, Kappler, John
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container_title Proceedings of the National Academy of Sciences - PNAS
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creator Kotzin, Brian L.
Falta, Michael T.
Crawford, Frances
Rosloniec, Edward F.
Bill, Jerry
Marrack, Philippa
Kappler, John
description Considerable evidence indicates that CD4+T cells are important in the pathogenesis of rheumatoid arthritis (RA), but the antigens recognized by these T cells in the joints of patients remain unclear. Previous studies have suggested that type II collagen (CII) and human cartilage gp39 (HCgp39) are among the most likely synovial antigens to be involved in T cell stimulation in RA. Furthermore, experiments have defined dominant peptide determinants of these antigens when presented by HLA-DR4, the most important RA-associated HLA type. We used fluorescent, soluble peptide-DR4 complexes (tetramers) to detect synovial CD4+T cells reactive with CII and HCgp39 in DR4+patients. The CII-DR4 complex bound in a specific manner to CII peptide-reactive T cell hybridomas, but did not stain a detectable fraction of synovial CD4+cells. A background percentage of positive cells (
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Previous studies have suggested that type II collagen (CII) and human cartilage gp39 (HCgp39) are among the most likely synovial antigens to be involved in T cell stimulation in RA. Furthermore, experiments have defined dominant peptide determinants of these antigens when presented by HLA-DR4, the most important RA-associated HLA type. We used fluorescent, soluble peptide-DR4 complexes (tetramers) to detect synovial CD4+T cells reactive with CII and HCgp39 in DR4+patients. The CII-DR4 complex bound in a specific manner to CII peptide-reactive T cell hybridomas, but did not stain a detectable fraction of synovial CD4+cells. A background percentage of positive cells (&lt;0.2%) was not greater in DR4 (DRB1*0401) patients compared with those without this disease-associated allele. Similar results were obtained with the gp39-DR4 complex for nearly all RA patients. In a small subset of DR4+patients, however, the percentage of synovial CD4+cells binding this complex was above background and could not be attributed to nonspecific binding. These studies demonstrate the potential for peptide-MHC class II tetramers to be used to track antigen-specific T cells in human autoimmune diseases. 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subjects Adult
Aged
Alleles
Animals
Antigens
Antigens, CD - immunology
Arthritis
Arthritis, Rheumatoid - immunology
Biological Sciences
Cartilage
Cartilage - immunology
CD4-Positive T-Lymphocytes - immunology
Collagen - immunology
Epitopes
Female
Flow Cytometry
Fluorescent Antibody Technique
Fluorescent Dyes
histocompatibility antigen HLA
HLA-DR4 Antigen - immunology
Humans
Hybridomas
Hybridomas - immunology
Immunology
Joint diseases
Male
Mice
Mice, Transgenic
Middle Aged
Molecules
Peptide Fragments - immunology
Peptides
Synovial fluid
Synovial Fluid - cytology
Synovial Fluid - immunology
T cell antigen receptors
T lymphocytes
T-Lymphocytes - immunology
title Use of Soluble Peptide-DR4 Tetramers to Detect Synovial T Cells Specific for Cartilage Antigens in Patients with Rheumatoid Arthritis
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