Cell‐Mediated Cytotoxicity in Lyme Arthritis

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

We propose that CD8+ T cell-mediated cytotoxicity, CD4+ T cell help, autoantibodies to vascular antigens, and complement deposition may each have a role in microvasculature damage in post-antibiotic LA.

Study context

Population
Patients with antibiotic-responsive or post-antibiotic Lyme arthritis; PBMC and SFMC samples, post-antibiotic synovial tissue
Participants
22 vs 14
Comparison
Post-antibiotic Lyme arthritis (LA) vs antibiotic-responsive LA
  • Post-antibiotic LAn = 22
  • Antibiotic-responsive LAn = 14reference
Outcome
Percentages of CD8+ T cells and double-negative (primarily γδ) T cells in SFMC and PBMC samples
Methodological detailsflow cytometry, intracellular cytokine staining, immunohistochemistry
  • Flow cytometry
  • Intracellular cytokine staining
  • Immunohistochemistry

Main finding

As reported in the abstract

Patients with microvascular damage and autoantibodies to vascular-associated antigens

2

Complement (C5b-9) deposition on obliterated vessels, in the patient with apparently active cytotoxicity

1

Original publication

Cell‐Mediated Cytotoxicity in Lyme Arthritis. Arthritis Rheumatol. Published 20 March 2023. doi:10.1002/art.42408

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