Spondyloarthritis & psoriatic arthritis

Disease-specific expansion of CD29+IL-17RA+ T effector cells possessing multiple signalling pathways in spondyloarthritis

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

CD29+IL-17RA+ T effector cells with enhanced Syk, NF-κB and JAK-STAT pathways were specifically increased in SpA and were correlated with disease activity, implicating a role of this newly identified T cell population in the pathogenesis.

Study context

Population
Patients with SpA (synovial fluid T cells from PsA; peripheral blood) and disease and healthy controls
Participants
28 / 12 / 12 / 12 / 37
Comparison
SpA vs RA, IgG4-related disease (IgG4-RD), large vessel vasculitis (LVV) and healthy controls
  • SpAn = 28
  • RAn = 12
  • IgG4-RDn = 12
  • LVVn = 12
  • Healthy controlsn = 37reference
Outcome
Peripheral blood CD29+IL-17RA+ T cells
Methodological detailstranscriptome analysis of public bulk RNA sequencing data, flow cytometry
  • Transcriptome analysis of public bulk RNA sequencing data
  • Flow cytometry

Main finding

As reported in the abstract

  • T cells in inflamed PsA joints showed CD29 and IL-17RA expression
  • CD29+IL-17RA+ T cells showed enriched CXCR3+CD45RA+ effector cells and activation of Syk, NF-κB and Janus kinase-signal transducer and activator of transcription (JAK-STAT) pathways
  • Proportion of peripheral blood CD29+IL-17RA+ T cells significantly increased in SpA vs RA, IgG4-RD, LVV and healthy controls
  • Proportion positively correlated with disease activity (ASDAS-CRP) in treatment-naïve active SpA
  • Anti-IL-17 but not anti-TNF monoclonal antibodies reduced CD29+IL-17RA+ T cells

Original publication

Disease-specific expansion of CD29+IL-17RA+ T effector cells possessing multiple signalling pathways in spondyloarthritis. Rheumatology (Oxford). Published 7 July 2022. doi:10.1093/rheumatology/keac391

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