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T cell homeostasis in patients with rheumatoid arthritis

Open access
Koetz, Kerstin, Bryl, Ewa, Spickschen, Kay, O'Fallon, W. Michael, Goronzy, Jörg J., Weyand, Cornelia M.·2000·Proceedings of the National Academy of Sciences

Abstract

The immune system is equipped with an extremely large spectrum of structurally diverse receptors to recognize all potential antigens. This fundamental principle of receptor diversity is no longer upheld in patients with rheumatoid arthritis (RA), who have a marked contraction of the T cell receptor repertoire. In this study, the ability of RA patients to produce T cells and to maintain T cell homeostasis was examined. CD4 T cells containing T cell receptor rearrangement excision circles (TREC) were substantially reduced in RA patients; TREC levels in young adult patients matched those of controls 20 years older. Increased self-replication of T cells in RA was indicated by age-inappropriate erosion of telomeres in circulating T cells with almost complete attrition of telomeric reserves in patients 20–30 yr of age. The degree of telomere loss was not related to disease duration or the use of disease-modifying medication and was most pronounced in CD4+CD45RO null(naive) T cells. The loss of TREC-positive T cells could be a consequence of a primary defect in peripheral T cell homeostasis. Alternatively, RA patients may have impaired thymic function with the increased turnover of peripheral T cells being a secondary compensatory event.

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Metadata

Authors
Koetz, K., Bryl, E., Spickschen, K., O'Fallon, W. M., Goronzy, J. J., & Weyand, C. M.
Venue
Proceedings of the National Academy of Sciences
Published
2000-08
Volume
97
Issue
16
Pages
9203-9208
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W2032546353
Cited by
467
References
4
FWCI
6.30
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: T cell homeostasis in patients with rheumatoid arthritis. https://app.cochat.ai/papers/10.1073/pnas.97.16.9203
The paper
Koetz, K., Bryl, E., Spickschen, K., O'Fallon, W. M., Goronzy, J. J., & Weyand, C. M. (2000). T cell homeostasis in patients with rheumatoid arthritis. Proceedings of the National Academy of Sciences. https://doi.org/10.1073/pnas.97.16.9203

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.