Characterization of Effector Memory CD8+ T Cells in the Synovial Fluid of Rheumatoid Arthritis

BA Cho, JH Sim, JA Park, HW Kim, WH Yoo… - Journal of clinical …, 2012 - Springer
BA Cho, JH Sim, JA Park, HW Kim, WH Yoo, SH Lee, DS Lee, JS Kang, YI Hwang, WJ Lee…
Journal of clinical immunology, 2012Springer
Little is known about the cellular characteristics of CD8+ T cells in rheumatoid arthritis (RA).
We addressed this by investigating whether the frequency of the CD8+ T cell subsets and
their phenotypic characteristics are altered in the peripheral blood and synovial fluid (SF)
from patients with RA. In this study, CD8+ T cells, mainly CD45RA–effector memory (EM)
CD8+ T cells, were increased significantly in the SF, but not in the peripheral blood from RA
patients, compared with healthy controls. The synovial EM CD8+ T cells were activated …
Abstract
Little is known about the cellular characteristics of CD8+ T cells in rheumatoid arthritis (RA). We addressed this by investigating whether the frequency of the CD8+ T cell subsets and their phenotypic characteristics are altered in the peripheral blood and synovial fluid (SF) from patients with RA. In this study, CD8+ T cells, mainly CD45RA effector memory (EM) CD8+ T cells, were increased significantly in the SF, but not in the peripheral blood from RA patients, compared with healthy controls. The synovial EM CD8+ T cells were activated phenotypes with high levels of CD80, CD86, and PD-1, and had a proliferating signature in vivo upon Ki-67 staining, whereas the Fas-positive cells were prone to apoptosis. In addition, EM CD8+ T cells in the SF were less cytotoxic, as they expressed less perforin and granzyme B. In particular, the proportions of synovial fluid mononuclear cells that were CCR4+CD8+ T cells and IL-4-producing CD8+ T cells (i.e., Tc2 cells) were significantly higher than those in peripheral blood mononuclear cells of patients with RA and healthy controls. In addition, the number of IL-10-producing CD8+ suppressor T (Ts) cells increased significantly in the SF of RA patients. Especially, CD8+ T cells were inversely correlated with disease activity. These findings strongly suggest that EM CD8+ T cells in the SF are increased, likely because of inflammation, and they may be involved in modulating inflammation, thereby affecting the development and progression of RA.
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