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Monserrat J, Bohórquez C, Gómez Lahoz AM, Movasat A, Pérez A, Ruíz L, Díaz D, Chara L, Sánchez AI, Albarrán F, Sanz I, Álvarez-Mon M. The Abnormal CD4+T Lymphocyte Subset Distribution and Vbeta Repertoire in New-onset Rheumatoid Arthritis Can Be Modulated by Methotrexate Treament. Cells 2019; 8:E871. [PMID: 31405169 PMCID: PMC6721760 DOI: 10.3390/cells8080871] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2019] [Revised: 07/17/2019] [Accepted: 08/06/2019] [Indexed: 12/29/2022] Open
Abstract
Patients with long-term, treated, rheumatoid arthritis (RA) show abnormalities in their circulating CD4+ T-lymphocytes, but whether this occurs in recently diagnosed naïve patients to disease-modifying drugs (DMARDs) is under discussion. These patients show heterogeneous clinical response to methotrexate (MTX) treatment. We have examined the count of circulating CD4+ T-lymphocytes, and their naïve (TN), central memory (TCM), effector memory (TEM) and effector (TE) subsets, CD28 expression and Vβ TCR repertoire distribution by polychromatic flow cytometry in a population of 68 DMARD-naïve recently diagnosed RA patients, before and after 3 and 6 months of MTX treatment. At pre-treatment baseline, patients showed an expansion of the counts of CD4+ TN, TEM, TE and TCM lymphocyte subsets, and of total CD4+CD28- cells and of the TE subset with a different pattern of numbers in MTX responder and non-responders. The expansion of CD4+TEM lymphocytes showed a predictive value of MTX non-response. MTX treatment was associated to different modifications in the counts of the CD4+ subsets and of the Vβ TCR repertoire family distribution and in the level of CD28 expression in responders and non-responders. In conclusion, the disturbance of CD4+ lymphocytes is already found in DMARD-naïve RA patients with different patterns of alterations in MTX responders and non-responders.
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Affiliation(s)
- Jorge Monserrat
- Laboratory of Immune System Diseases, University of Alcalá, Alcalá de Henares, 28871 Madrid, Spain
- Department of Medicine, University Hospital "Príncipe de Asturias", University of Alcalá and Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Alcalá de Henares, 28871 Madrid, Spain
| | - Cristina Bohórquez
- Department of Medicine, University Hospital "Príncipe de Asturias", University of Alcalá and Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Alcalá de Henares, 28871 Madrid, Spain
- Immune System Diseases-Rheumatology Service, University Hospital "Príncipe de Asturias", Alcalá de Henares, 28871 Madrid, Spain
| | - Ana María Gómez Lahoz
- Laboratory of Immune System Diseases, University of Alcalá, Alcalá de Henares, 28871 Madrid, Spain
- Immune System Diseases-Rheumatology Service, University Hospital "Príncipe de Asturias", Alcalá de Henares, 28871 Madrid, Spain
| | - Atusa Movasat
- Department of Medicine, University Hospital "Príncipe de Asturias", University of Alcalá and Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Alcalá de Henares, 28871 Madrid, Spain
- Immune System Diseases-Rheumatology Service, University Hospital "Príncipe de Asturias", Alcalá de Henares, 28871 Madrid, Spain
| | - Ana Pérez
- Department of Medicine, University Hospital "Príncipe de Asturias", University of Alcalá and Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Alcalá de Henares, 28871 Madrid, Spain
- Immune System Diseases-Rheumatology Service, University Hospital "Príncipe de Asturias", Alcalá de Henares, 28871 Madrid, Spain
| | - Lucía Ruíz
- Department of Medicine, University Hospital "Príncipe de Asturias", University of Alcalá and Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Alcalá de Henares, 28871 Madrid, Spain
- Immune System Diseases-Rheumatology Service, University Hospital "Príncipe de Asturias", Alcalá de Henares, 28871 Madrid, Spain
| | - David Díaz
- Laboratory of Immune System Diseases, University of Alcalá, Alcalá de Henares, 28871 Madrid, Spain
- Immune System Diseases-Rheumatology Service, University Hospital "Príncipe de Asturias", Alcalá de Henares, 28871 Madrid, Spain
| | - Luis Chara
- Laboratory of Immune System Diseases, University of Alcalá, Alcalá de Henares, 28871 Madrid, Spain
- Immune System Diseases-Rheumatology Service, University Hospital "Príncipe de Asturias", Alcalá de Henares, 28871 Madrid, Spain
| | - Ana Isabel Sánchez
- Department of Medicine, University Hospital "Príncipe de Asturias", University of Alcalá and Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Alcalá de Henares, 28871 Madrid, Spain
- Immune System Diseases-Rheumatology Service, University Hospital "Príncipe de Asturias", Alcalá de Henares, 28871 Madrid, Spain
| | - Fernando Albarrán
- Department of Medicine, University Hospital "Príncipe de Asturias", University of Alcalá and Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Alcalá de Henares, 28871 Madrid, Spain
- Immune System Diseases-Rheumatology Service, University Hospital "Príncipe de Asturias", Alcalá de Henares, 28871 Madrid, Spain
| | - Ignacio Sanz
- Division of Immunology and Rheumatology, Department of Medicine, Emory University, Atlanta, GA 30322, USA
| | - Melchor Álvarez-Mon
- Laboratory of Immune System Diseases, University of Alcalá, Alcalá de Henares, 28871 Madrid, Spain.
- Department of Medicine, University Hospital "Príncipe de Asturias", University of Alcalá and Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Alcalá de Henares, 28871 Madrid, Spain.
- Immune System Diseases-Rheumatology Service, University Hospital "Príncipe de Asturias", Alcalá de Henares, 28871 Madrid, Spain.
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Watad A, Bragazzi NL, Shoenfeld Y. Insights from the 11th International Congress on Autoimmunity, Lisbon, Portugal, 2018. Clin Immunol 2018; 199:5-6. [PMID: 30543924 DOI: 10.1016/j.clim.2018.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Abdulla Watad
- Department of Medicine 'B', Tel-Aviv University, Israel; Zabludowicz Center for Autoimmune Diseases, Tel-Aviv University, Israel; Sackler Faculty of Medicine, Tel-Aviv University, Israel; Section of Musculoskeletal Disease, Leeds Institute of Molecular Medicine, University of Leeds, NIHR Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK.
| | - Nicola Luigi Bragazzi
- Postgraduate School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy
| | - Yehuda Shoenfeld
- Zabludowicz Center for Autoimmune Diseases, Tel-Aviv University, Israel; Sackler Faculty of Medicine, Tel-Aviv University, Israel
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