New type of T-cell identified as ‘key player’ in development of rheumatoid arthritis – Patient Talk

Last updated: 05-13-2020

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New type of T-cell identified as ‘key player’ in development of rheumatoid arthritis – Patient Talk

A team of scientists from the UK and the US have identified a genetically-distinct subset of helper T-cell associated with tissues affected by rheumatoid arthritis.

Rheumatoid arthritis (RA) is an autoimmune disease that primarily affects the joints, where the immune system attacks its own tissues and causes chronic inflammation and pain. T-cells are important mediators of the disease, interacting with B-cells to induce plasma cell differentiation and the subsequent production of inflammatory antibodies.

In a study published today in the journal Nature, scientists from the University of Birmingham’s Institute of Inflammation and Ageing, in collaboration with colleagues from the Brigham and Women’s Hospital in Boston, USA, have described a new type of T-cell with a unique pattern of behaviour in RA-affected synovial tissues.

These ‘peripheral helper’ T-cells, or T cells, are similar to the follicular helper T-cells (T cells) that induce B-cell differentiation within lymph nodes. However, T cells are genetically distinct from T cells, and crucially, they are able to migrate to RA-affected joint tissue, where they can interact with B-cells locally.

During the study, researchers used mass cytometry to identify T cells in the synovial tissues of RA-affected joints, and global transcriptomics to clearly differentiate these T cells from T cells.

The study also shows that T cells are able to induce plasma differentiation in vitro, and suggests that their migration into inflamed tissues in vivo is directed by a unique expression of chemokine receptors.

While further work is needed to firmly establish cause and effect, the results of this study show that T cells are highly associated with RA, and raise the possibility of a T cell association with other autoimmune disorders.

Professor Christopher Buckley, co-author of the study and head of the Rheumatology Research Group at the University of Birmingham, says:

‘For years, genome-wide studies have suggested that T-cells are a key player in RA. Having initially expected to find them in the lymph nodes, we have finally found them hiding in plain sight, within the synovial tissue itself.

‘Our findings imply that T cells are uniquely poised to promote B-cell responses and antibody production within pathologically inflamed non-lymphoid tissues, and suggest a promising novel treatment target for autoimmune disease such as RA.’

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