Work

Arthritis flares mediated by tissue-resident memory T cells in the joint

Year: 2021
Type: article
Abstract: Rheumatoid arthritis is a systemic autoimmune disease, but disease flares typically affect only a subset of joints, distributed in a distinctive pattern for each patient. Pursuing this intriguing pattern, we show that arthritis recurrence is mediated by long-lived synovial resident memory T cells (T RM ). In three murine models, CD8+ cells bearing T RM markers remain in previously inflamed joints during remission. These cells are bona fide T RM , exhibiting a failure to migrate between joints, preferential uptake of fatty acids, and long-term residency. Disease flares result from T RM activation by antigen, leading to CCL5-mediated recruitment of circulating effector cells. Correspondingly, T RM depletion ameliorates recurrence in a site-specific manner. Human rheumatoid arthritis joint tissues contain a comparable CD8+-predominant T RM population, which is most evident in late-stage leukocyte-poor synovium, exhibiting limited T cell receptor diversity and a pro-inflammatory transcriptomic signature. Together, these findings establish synovial T RM as a targetable mediator of disease chronicity in autoimmune arthritis.
Source: Cell Reports
Language: English
Subfield: Rheumatology
Field: Medicine
Open Access status: gold
Estimated APC paid: $5,200
OpenAlex ID: W3166784399
FWCI: 10.94
Cites: 61
Cited by: 124
Related to: 10