t-cell autoreactivity to citrullinated autoantigenic peptides in rheumatoid arthritis patients carrying hla-drb1 shared epitope alleles类风湿性关节炎患者t细胞autoreactivity,citrullinated autoantigenic肽携带hla-drb1共享抗原决定基的等位基因.pdfVIP
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t-cell autoreactivity to citrullinated autoantigenic peptides in rheumatoid arthritis patients carrying hla-drb1 shared epitope alleles类风湿性关节炎患者t细胞autoreactivity,citrullinated autoantigenic肽携带hla-drb1共享抗原决定基的等位基因
Law et al. Arthritis Research Therapy 2012, 14:R118
/content/14/3/R118
RESEARCH ARTICLE Open Access
T-cell autoreactivity to citrullinated autoantigenic
peptides in rheumatoid arthritis patients carrying
HLA-DRB1 shared epitope alleles
1† 1† 1 1 1
Soi Cheng Law , Shayna Street , Chien-Hsiung Alan Yu , Christelle Capini , Sakoontalla Ramnoruth ,
1 1 1 2 1 2 1*
Hendrik J Nel , Eline van Gorp , Claire Hyde , Kim Lau , Helen Pahau , Anthony W Purcell and Ranjeny Thomas
Abstract
Introduction: Anti-citrullinated peptide antibodies are found in rheumatoid arthritis (RA) patients with HLA-DRb
chains encoding the shared epitope (SE) sequence. Citrullination increases self-antigen immunogenicity, through
increased binding affinity to SE-containing HLA-DR molecules. To characterise T-cell autoreactivity towards
citrullinated self-epitopes, we profiled responses of SE+ healthy controls and RA patients to citrullinated and
unmodified epitopes of four autoantigens.
Methods: We compared T-cell proliferative and cytokine responses to citrullinated and native type II collagen 1,237
to 1,249, vimentin 66 to 78, aggrecan 84 to 103 and fibrinogen 79 to 91 in six SE+ healthy controls and in 21 RA
patients with varying disease duration. Cytokine-producing cells were stained after incubation with peptide in the
presence of Brefeldin-A.
Results: Although proliferative responses were low, IL-6, IL-17 and TNF were secreted by CD4+ T cells of SE+ RA
patients and healthy controls, as well as IFNg and IL-10 secreted
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