Systemic sclerosis & Raynaud's

Abatacept Reduces CD319 + ( SLAMF7 ) Cytotoxic T Cells and Cytokine Production in Systemic Sclerosis

Arthritis RheumatolPublished Secondary analysis of the ASSET randomised trial

Authors' conclusion

CD319+ T cells represent highly differentiated, activated cytotoxic effector populations in SSc. Abatacept selectively modulates these cells and suppresses associated profibrotic and proinflammatory cytokines, particularly in the fibroproliferative subtype, in which CD319+ T cell reductions correlate with clinical improvement.

Study context

Population
Participants with diffuse cutaneous systemic sclerosis (SSc) in the ASSET trial60 evaluable at baseline
Participants
67 participants
Comparison
Abatacept vs placebo
Methodological detailsancillary analysis, mechanistic
  • Ancillary analysis
  • Mechanistic

Primary result

As reported in the abstract

CD319+ T cells: cytotoxic and activation phenotype and abatacept effects
Baseline: CD319+ T cells showed greater cytokine production, activation, and granzyme and perforin expression than CD319- T cells
P < 0.001 to P < 0.0001
Fibroproliferative endotype: abatacept reduced IL-4 in CD4+CD319+ T cells at month three
P = 0.0468
Fibroproliferative endotype: abatacept reduced IL-4 in CD8+CD319+ T cells at month three
P = 0.0287
Fibroproliferative endotype: abatacept reduced IL-17A in CD8+CD319+ T cells at month six
P = 0.0004
Reduction in CD4+CD319+ T cells correlated with modified Rodnan skin score (mRSS) improvement (abatacept)
r = 0.5297, P = 0.0423

Further findings

Skin single-cell RNA sequencing: SLAMF7 expression in SSc T cells (5 healthy controls, 8 SSc)

Increased SLAMF7 expression in SSc T cells, enriched within cytotoxic subsets
P = 0.017

Original publication

Abatacept Reduces CD319 + ( SLAMF7 ) Cytotoxic T Cells and Cytokine Production in Systemic Sclerosis. Arthritis Rheumatol. Published 20 August 2026. doi:10.1002/art.70301

Composed by AI from the published abstract and checked against it. How Briefs are made →

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