Rheumatoid arthritis

Characteristics of CLA⁺Tregs in rheumatoid arthritis and their potential as biomarkers of treatment response

Arthritis Res TherPublished Case-control study

Main finding · CLA+ Tregs, RA vs healthy controls (most significantly reduced subset)Result — go to the resultOdds ratio 0.825 CI 0.764–0.891

Authors' conclusion

The results demonstrated a significant reduction of CLA+ Tregs in active RA, especially in patients with systemic damages.

Study context

Population
Patients with rheumatoid arthritis (RA) and healthy controls; 12 T cell subsets, total T cells, B cells and NK cells analysed
Participants
169 vs 114
Comparison
RA vs healthy controls
  • RAn = 169
  • Healthy controlsn = 114reference
Outcome
Association between immune cell subsets (CLA+ Tregs) and RA
Methodological detailsflow cytometry, logistic regression
  • Flow cytometry
  • Logistic regression

Main finding

As reported in the abstract

CLA+ Tregs, RA vs healthy controls (most significantly reduced subset)

Odds ratio

0.825

CI 0.764–0.891

P < 0.001

RAvs Healthy controls
OR 0.825 (CI 0.764–0.891); P < 0.001

Observational data: associations, not effects.

Further findings

Decreased CLA+ Tregs and active disease status

Adjusted OR
0.814 [0.733-0.902], p = 0.004
AUC
0.916 [0.869-0.963], p < 0.001

Decreased CLA+ Tregs and clinical features

Associated with higher swollen joint count, tender joint count and DAS28, and systemic involvement (interstitial lung disease (ILD), anaemia, fever, skin vasculitis)
Rheumatoid factor (RF) and anti-MCV correlated with lower CLA+ Tregs

CLA+ Tregs after treatment vs baseline, with improved disease activity

Percentage, median, baseline vs after treatment
9.60% vs. 18.80%, p = 0.044
Absolute count, baseline vs after treatment
3.41 cells/µL vs. 7.86 cells/µL, p = 0.011

Original publication

Characteristics of CLA⁺Tregs in rheumatoid arthritis and their potential as biomarkers of treatment response. Arthritis Res Ther. Published 19 March 2026. doi:10.1186/s13075-026-03791-0

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