Arthritis flares mediated by tissue-resident memory T cells in the joint
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Abstract
Abstract Although rheumatoid arthritis is a systemic disease, flares typically occur in a subset of joints that is distinctive for each patient. Pursuing this intriguing pattern, we show that arthritis recurrence is mediated by long-lived synovial resident memory T cells (T RM ). In three murine models, CD8+ cells bearing T RM markers remain in previously inflamed joints during remission. These cells are bona fide T RM , exhibiting failure to migrate from joint to joint, preferential uptake of fatty acids, and long-term residency. Disease flares result from T RM activation by antigen, leading to CCL5-mediated recruitment of circulating effector cells. Correspondingly, T RM depletion ameliorates recurrence in a site-specific manner. Human rheumatoid arthritis joint tissues contain a comparable CD8+-predominant T RM population, most evident in late-stage non-inflamed synovium, exhibiting limited T cell receptor diversity and a pro-inflammatory transcriptomic signature. Together, these findings establish synovial T RM cells as a targetable mediator of disease chronicity in autoimmune arthritis.
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In organs other than the heart, TRM cells have been incriminated as key drivers of autoimmune diseases including psoriasis, vitiligo, type 1 diabetes, idiopathic arthritis, Alzheimer disease, and multiple sclerosis.
“Moreover, in other organs than the heart, T RM cells have been incriminated as key drivers of autoimmune diseases including psoriasis, vitiligo, type 1 diabetes, idiopathic arthritis, Alzheimer disease, and multiple sclerosis. 294,302-310”
From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [306]
The Introduction says TRM mediate psoriasis, and the Introduction and Discussion report that synovial TRM instigate arthritis flares in mouse models and are found in human rheumatoid arthritis tissue. The paper does not establish this role in idiopathic arthritis specifically, nor does it address vitiligo, type 1 diabetes, Alzheimer disease, or multiple sclerosis. No page numbers are available in our copy. (LLM, conf=0.88)
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- Authors
- Chang, M. H., Levescot, A., Nelson-Maney, N., Blaustein, R. B., Winden, K. D., Morris, A., Wactor, A., Balu, S., Grieshaber-Bouyer, R., Wei, K., Henderson, L. A., Iwakura, Y., Clark, R. A., Rao, D. A., Fuhlbrigge, R. C., & Nigrovic, P. A.
- Affiliations
- Boston Children's Hospital (US)
- Brigham and Women's Hospital (US)
- Tokyo University of Science (JP)
- University of Colorado Anschutz (US)
- Corresponding author
- Fuhlbrigge, Robert C.
- Nigrovic, Peter A.
- ORCID
- Venue
- Cell Reports
- Publisher
- Elsevier BV
- Published
- 2021-10
- Volume
- 37
- Issue
- 4
- Pages
- 109902
- ISSN
- 2211-1247 (ISSN-L)
- PMC
- PMC8561718
- OpenAlex
- W3166784399
- Cited by
- 115
- References
- 61
- Citations by year
- 2026: 23 · 2025: 24 · 2024: 35 · 2023: 20 · 2022: 12 · 2021: 1
- FWCI
- 12.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cell Reports (publishedVersion, cc-by-nc-nd)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIAMS (R01AR075906, R01AR073201, P30AR070253, K08AR073339, P30AR069625)
- National Center for Advancing Translational Sciences (KL2TR002542, K08AR077037)
- Burroughs Wellcome Fund (K08AR073339)
- National Institute of Neurological Disorders and Stroke (5K08NS112598-02)
- National Heart, Lung, and Blood Institute (R21HL150575)
- NICHD (K12HD052896)
- Rheumatology Research Foundation
- Boehringer Ingelheim Fonds
- Gilead Sciences
- Fundación Bechara
- NIAID (T32AI007512)
- National Cancer Institute (2R01AR065538, R01CA203721, R21AR076630)
- National Institutes of Health
- Arthritis National Research Foundation (R01AI127654)
- Topics
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
- Keywords
- rheumatoid arthritis, arthritis flare, tissue-resident memory T cells, synovium, CD8+ T cells, recurrence, RANTES, T cell migration, fatty acid uptake, T cell receptor diversity, synovial transcriptome
- MeSH terms
- Memory T Cells, Animals, Arthritis, Rheumatoid, Humans, Synovial Membrane, Mice, Knockout, CD8-Positive T-Lymphocytes, Mice, Transcriptome
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