Pediatric rheumatology

Sex Differences in B Cells From the Joints of Children With Oligoarticular Juvenile Idiopathic Arthritis

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

These findings demonstrate prominent B cell dysregulation in oligo JIA and implicate sex as an important biologic factor in B cell responses in this disease.

Study context

Population
Children with oligoarticular juvenile idiopathic arthritis (JIA) and controls
Comparison
B cells from synovial fluid (SF) and blood of children with oligo JIA vs blood and tonsils of controls; female vs male patients
  • Oligo JIAn = 44
Outcome
Intra-articular B cell characteristics
Methodological detailsFlow cytometry, B cell receptor (BCR) repertoire analysis and autoantibody profiling
  • Flow cytometry, BCR repertoire analysis and autoantibody profiling

Main finding

As reported in the abstract

  • Bmem cells and heterogeneous subsets of CD21lo B cells enriched in oligo JIA-SF vs blood of patients and controls
  • Female vs male patients: greater proportions of intra-articular T peripheral helper (Tph) cells expressing B cell help factors, and of Bmem cells, plasmablasts and age-/autoimmune-associated B cells
  • Sex differences in B cells only in the joints, not in blood or tonsil, and not explained by age at onset, ANA status or severity
  • SF Bmem cells from female patients: autoreactive characteristics (longer CDR3 lengths, increased usage of autoreactive BCR gene segments), not found in blood Bmem cells
  • Diverse array of autoantibodies accumulated in SF of female patients vs blood of patients with JIA and controls

Original publication

Sex Differences in B Cells From the Joints of Children With Oligoarticular Juvenile Idiopathic Arthritis. Arthritis Rheumatol. Published 21 May 2025. doi:10.1002/art.43157

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