Inflammatory myopathies

Autoreactive T cells identified in patients with anti-Jo1+ antisynthetase syndrome recognise a new epitope on histidyl t-RNA synthetase

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

Autoreactive T-cells targeting a new HisRS epitope were identified indicating T cell reactivity to diverse epitopes of the HisRS protein in patients with anti-Jo1 autoantibodies. Furthermore, we demonstrated the TCR repertoire of autoreactive HisRS+CD4+T cells in patients. Persistence of these T-cells and specific clones may be contributing to disease.

Study context

Population
Patients with anti-Jo1+ antisynthetase syndrome (ASyS) carrying HLA-DRB1*03:01HLA-DRB1*03:01 positive
Participants
12 patients
Outcome
Identification of new HisRS T cell epitopes, presence of autoreactive HisRS+CD4+T cells and their TCR repertoire
Methodological detailsin vitro binding assays, HLA-class II tetramer detection, single T-cell receptor (TCR) sequencing, Peptides from HisRS N-terminal region with appropriate major histocompatibility complex (MHC) anchor residues selected for in vitro binding assays; HisRS41-55 with highest HLA-DRB1*03:01 binding affinity selected for tetramer studies
  • In vitro binding assays
  • HLA-class II tetramer detection
  • Single TCR sequencing
  • Peptides from HisRS N-terminal region with appropriate MHC anchor residues selected for in vitro binding assays; HisRS41-55 with highest HLA-DRB1*03:01 binding affinity selected for tetramer studies

Main finding

As reported in the abstract

Autoreactive HisRS+CD4+T cells detected in peripheral blood mononuclear cells (PBMCs) of patients

n = 6/12

HisRS+CD4+T cells persisted after treatment

2 patients

P2 and P4

Identical T cell clones detected between initial and follow-up time points

2 clones in 1 patient

P2

Further findings

Persistence of HisRS+CD4+T cells after treatment · follow-up

HisRS+CD4+T cells persisted after treatment
2 patients (P2 and P4)
Identical T cell clones between initial and follow-up time points
2 clones in 1 patient (P2)

Original publication

Autoreactive T cells identified in patients with anti-Jo1+ antisynthetase syndrome recognise a new epitope on histidyl t-RNA synthetase. Ann Rheum Dis. Published 25 October 2025. doi:10.1016/j.ard.2025.09.015

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