Rheumatoid arthritis

Do intrasynovial T lymphocytes facilitate disease progression in patients with rheumatoid arthritis?

Clin Exp RheumatolPublished Mechanistic study

Authors' conclusion

In the SF of patients with RA, disease progression was facilitated by formation of doublets between N-DCs and activated effector memory CD4+ T lymphocytes.

Study context

Population
Synovial fluid of patients with rheumatoid arthritis (RA)
Participants
15 participants
Methodological detailsflow cytometry, ex-vivo studies
  • Flow cytometry
  • Ex-vivo studies

Main finding

As reported in the abstract

  • Enhanced proportion of activated CD4+ and CD8+ EM T lymphocytes in the synovial fluid (SF), positively correlated with DAS28
  • EM T lymphocytes showed enhanced ROS generation, enhanced cytotoxic potential and were CXCR3+/CD28+
  • Doublets identified between N-DCs and activated CD4+ EM T lymphocytes
  • Ex-vivo: inflammatory milieu facilitated transdifferentiation, T lymphocyte activation and doublet formation

Original publication

Do intrasynovial T lymphocytes facilitate disease progression in patients with rheumatoid arthritis? Clin Exp Rheumatol. Published 4 August 2025. doi:10.55563/clinexprheumatol/3nxngt

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