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Rheumatology 2001; 40: 1120-1125
© 2001 British Society for Rheumatology


Original Papers

T-cell responses to viral, bacterial and protozoan antigens in rheumatoid inflammation. Selective migration of T cells to synovial tissue

K. R. Shadidi, T. Aarvak, S. Jeansson1, J. E. Henriksen2, J. B. Natvig and K. M. Thompson

The National Hospital, Institute of Immunology, Department of Rheumatology Research, Oslo,
1 Ullevål University Hospital, Department of Microbiology, Oslo and
2 Diakonhjemmets Hospital, Department of Rheumatology, Oslo, Norway

Objective. To identify any preferential or selective migration of T-cell specificities to inflamed tissues of rheumatoid arthritis (RA) patients.

Methods. Lymphocytes from peripheral blood (PB) and synovial tissue (ST) were isolated from RA patients and stimulated with a panel of crude antigen preparations from 18 bacterial, protozoan and viral sources. Proliferative responses of the T lymphocytes to each antigen and group of antigens were compared in PB and ST. Antigen-specific T-cell clones were developed and their migratory capacities towards synovial chemokines were compared.

Results. ST-derived T cells showed a small but significantly higher stimulation index (SI) to the group of intestinal bacteria compared with PB T cells. Conversely, responses of ST-derived T cells to Acanthamoeba polyphaga (AP) were both profoundly and significantly lower compared with PB-derived T cells. The viral antigens as a whole gave comparable reactivities in blood and ST. The migratory capacity of AP-specific T-cell clones towards chemokines produced by ST was profoundly poorer compared with Campylobacter jejuni- and herpes simplex virus-specific T-cell clones.

Conclusions. The results indicate a selective migration of T cells of given specificities to the inflamed rheumatoid synovium.

KEY WORDS: Rheumatoid arthritis, Antigens, Proliferation, Intestinal bacteria, Acanthamoeba polyphaga, Migration.

Correspondence to: K. R. Shadidi, The National Hospital, Institute of Immunology, Department of Rheumatology Research, N-0027 Oslo, Norway.


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