Rheumatoid arthritis

PD1 + TIGIT + CD4 + T cells predict response to anti-TNF in rheumatoid arthritis and spondyloarthritis

RMD OpenPublished Prospective cohort study

Authors' conclusion

CD8+PD-1+TIGIT+ T-cell expression is elevated in SjD and RA compared with HV and AS. CD4+PD-1+TIGIT+ levels are higher in future anti-TNF responders compared with non-responders and rise after treatment in patients with RA and AS.

Study context

Population
Biologics-naïve patients with rheumatoid arthritis (RA) and spondyloarthritis followed prospectively for anti-TNF response; Sjögren's disease (SjD) patients and healthy volunteers at baseline
Participants
67 patients
Exposure
Baseline CD4+PD-1+TIGIT+ levels in future anti-TNF responders vs non-responders
Outcome
Anti-TNF response
Follow-up
12 months
Methodological detailsflow cytometry, biomarker study
  • Flow cytometry
  • Biomarker study

Main finding

As reported in the abstract

Baseline CD4+PD-1+TIGIT+ levels

P = 0.003

Observational data: associations, not effects.

Further findings

Median

OutcomeRASjDHVAS
Median CD8+PD-1+TIGIT+ levels by disease · baseline24%23.2%18.8%16.2%

Median CD8+PD-1+TIGIT+ levels by disease · baseline

Higher in RA and SjD than in healthy volunteers (HV) and and spondyloarthritis (AS)

Correlations of CD4+PD-1+TIGIT+ with circulating markers in SjD

Immunoglobulin G, r (p<0.001)
0.698
Interferon gamma, r (p=0.017)
0.635
IP-10, r (p=0.005)
0.612

CD4+PD-1+TIGIT+ and CD8+PD-1+TIGIT+ cells after anti-TNF in RA and AS · 3 months

Both increased after 3 months of anti-TNF treatment

Original publication

PD1 + TIGIT + CD4 + T cells predict response to anti-TNF in rheumatoid arthritis and spondyloarthritis. RMD Open. Published 20 May 2026. doi:10.1136/rmdopen-2025-006537

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