Open AccessThe T-cell-receptor repertoire in the synovial fluid of a patient with rheumatoid arthritis is polyclonal.
Author(s) -
Yasushi Uematsu,
H. Wege,
Alexander Straus,
Michael Ott,
Willi Bannwarth,
Jerry S. Lanchbury,
G. S. Panayi,
Michael Steinmetz
Publication year - 1991
Publication title -
proceedings of the national academy of sciences of the united states of america
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.011
H-Index - 771
eISSN - 1091-6490
pISSN - 0027-8424
DOI - 10.1073/pnas.88.19.8534
Subject(s) - synovial fluid , microbiology and biotechnology , polyclonal antibodies , beta (programming language) , alpha (finance) , biology , t cell receptor , t cell , antibody , immunology , medicine , pathology , immune system , construct validity , alternative medicine , nursing , patient satisfaction , computer science , programming language , osteoarthritis
We have analyzed the T-cell-receptor repertoire expressed in the synovial fluid of a patient with rheumatoid arthritis by using an inverse polymerase chain reaction. Total RNA was isolated from Ficoll-purified mononuclear cells and converted into circularized double-stranded cDNA. Specific amplification of alpha- and beta-chain variable regions (V alpha and V beta) was achieved with inverted alpha- and beta-chain constant region (C alpha and C beta) primer pairs, and the amplification products were cloned into phage vectors. A total of 78 alpha and 76 beta clones were sequenced, and 67 and 72 productively rearranged alpha and beta genes were identified, respectively. Thirty-one V alpha, 33 alpha-chain joining region (J alpha), 29 V beta, and 12 beta-chain joining region (J beta) gene segments were found in the productively rearranged clones, indicating that the T-cell repertoire expressed in the synovial fluid of this RA patient is highly heterogenous and polyclonal. Comparison of peripheral blood and synovial fluid repertoires showed that the most abundant V beta sequences, V beta 2.1 and V beta 3.1, were enriched in the inflamed joint by a factor of 2 to 3. It is possible that T cells expressing these V beta gene segments, which recognize bacterial superantigens, play a role in the disease.