Rheumatoid arthritis

Dual dynamics of persistence and recruitment characterise the ACPA-expressing B cell response in rheumatoid arthritis

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

These observations demonstrate that the ACPA-expressing B cell population includes persistent and newly recruited cells that together fuel this ongoing autoimmune response.

Study context

Population
Patients with RA; ACPA-expressing B cells1,581 BCR sequences
Outcome
ACPA-expressing B cell repertoire dynamics
Methodological detailslongitudinal, ACPA-expressing B cells isolated by tetramer-based flow cytometry, BCR sequencing by Smart-Seq2-based immunoglobulin-gene amplification and paired heavy/light-chain Sanger sequencing, antigen reactivity validated by producing and testing monoclonal antibodies
  • Longitudinal
  • ACPA-expressing B cells isolated by tetramer-based flow cytometry
  • BCR sequencing by Smart-Seq2-based immunoglobulin-gene amplification and paired heavy/light-chain Sanger sequencing
  • Antigen reactivity validated by producing and testing monoclonal antibodies

Main finding

As reported in the abstract

Multiple clonal families traced over time

8 years

Original publication

Dual dynamics of persistence and recruitment characterise the ACPA-expressing B cell response in rheumatoid arthritis. Ann Rheum Dis. Published 29 April 2026. doi:10.1016/j.ard.2026.03.033

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