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Oligoclonal CD4+ CD57+ T-cell expansions contribute to the imbalanced T-
cell receptor repertoire of rheumatoid arthritis patients
L Imberti, A Sottini, S Signorini, R Gorla and D Primi
Consorzio per le Biotecnologie, Terzo Laboratorio Analisi, Clinic
Immunology Department, Spedali Civili, Brescia, Italy.
A peculiar feature of rheumatoid arthritis patients is that they carry
clonally expanded CD4+ and CD8+ cells in the peripheral blood. While the
distortion of the repertoire of CD8+ cells has been ascribed to the
increase of CD8+ CD57+ large granular lymphocytes, often detected in these
patients, the mechanism responsible for the clonal expansion of CD4+ cells
remains unexplained. Here, we report that CD4+ CD57+ cells, that in healthy
individuals represent a small subset of peripheral CD4+ lymphocytes, are
significantly expanded in the peripheral blood of a considerable percentage
of rheumatoid arthritis patients. Furthermore, the expansion of these
lymphocytes appears to correlate with the presence of rheumatoid factor.
The molecular analysis of the T-cell receptor variable beta segments
expressed by the CD4+ CD57+ cells enriched in rheumatoid arthritis patients
showed that they use restricted repertoires, that partially overlap with
those of their CD4- CD57+ counterpart. The structural feature of the
receptor ligand expressed by these cells revealed that their expansion is
most likely mediated by strong antigenic pressures. However, since we also
found that CD4+ CD57+ and CD4- CD57+ cells can share the same clonal
specificity, it is likely that their selection is not mediated by
conventional major histocompatibility complex restricted mechanisms. Thus,
while our data demonstrate that CD4+ CD57+ cells play an important role in
establishing the imbalance of the CD4+ cell repertoire observed in
rheumatoid arthritis patients, they also suggest that these cells have
common features with mouse CD4+ CD8- NK1.1+/T cells.
Volume 89,
Issue 8,
pp. 2822-2832,
04/15/1997
Copyright © 1997 by The American Society of Hematology

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