Rheumatoid arthritis

Effects of interleukin-6 signal inhibition on Treg subpopulations and association of Tregs with clinical outcomes in rheumatoid arthritis

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

Blocking the IL-6 receptor with TCZ increased the proportion of rTregs, a functional Treg subpopulation. Patients with an early increase in rTregs showed a favourable treatment course

Study context

Population
Patients with RA who started tocilizumab with or without MTX, and healthy controls
Participants
40 vs 11
Comparison
RA patients starting tocilizumab (TCZ) with or without MTX vs healthy controls; Treg subsets from baseline to week 52
  • RAn = 40
  • Healthy controls (HCs)n = 11reference
Outcome
Proportions of functional Treg subsets with IL-6 receptor blockade and their relationship with clinical outcome
Follow-up
Baseline to week 52
Methodological detailslongitudinal, flow cytometry
  • Longitudinal
  • Flow cytometry

Main finding

As reported in the abstract

Treg subsets
  • Resting Tregs (rTregs) and rTregs+aTregs significantly lower in RA at baseline than in HCs
  • CD127low Tregs, rTregs, aTregs and rTregs+aTregs significantly increased with TCZ treatment
  • rTregs increased in patients treated with TCZ without MTX
  • Increase in rTregs at week 12 associated with significantly fewer arthritis flares during observation

Original publication

Effects of interleukin-6 signal inhibition on Treg subpopulations and association of Tregs with clinical outcomes in rheumatoid arthritis. Rheumatology (Oxford). Published 26 March 2024. doi:10.1093/rheumatology/keae196

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