Autoinflammatory & rare systemic diseases

Persistent Interleukin‐18 Fuels Expansion of CD38 + HLA ‐ DR + CD8 + T Cells in Still Disease and Macrophage Activation Syndrome

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

CD38+HLA-DR+CD8+ cells, previously primarily associated with MAS, are detectable early in SD. Persistent IL-18 exposure promotes their expansion.

Study context

Population
Patients with Still disease across disease stages, including macrophage activation syndrome (MAS)
Comparison
CD38+HLA-DR+CD8+ T cells across SD stages vs healthy donors
  • SD onsetn = 19
  • Inactive diseasen = 15
  • MASn = 12
Outcome
Frequency of CD38+HLA-DR+CD8+ T cells across disease stages
Methodological detailslongitudinal, spectral flow cytometry, bulk RNA sequencing, in vitro cytokine stimulation
  • Longitudinal
  • Spectral flow cytometry
  • Bulk RNA sequencing
  • In vitro cytokine stimulation

Main finding

As reported in the abstract

CD38+HLA-DR+CD8+ T cell frequency

Original publication

Persistent Interleukin‐18 Fuels Expansion of CD38 + HLA ‐ DR + CD8 + T Cells in Still Disease and Macrophage Activation Syndrome. Arthritis Rheumatol. Published 1 September 2026. doi:10.1002/art.70319

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