title: T cell activation by mycobacterial antigens in inflammatory synovitis.
abstract: To define which mycobacterial antigens were responsible for the activation of synovial fluid T lymphocytes, acetone-precipitated Mycobacterium tuberculosis (AP-MT) antigens were separated into five fractions following polyacrylamide gel electrophoresis and added to the mononuclear cell cultures of patients with inflammatory synovitis. Fractions 2 (50 to 70 kDa) and 5 (less than 28 kDa) resulted in significantly more proliferation than that of fractions 1, 3, and 4. The response to a purified mycobacterial 65-kDa heat shock protein (hsp), which migrated in fraction 2, was highly correlated (r = 0.89, P less than 0.001) with the response to the crude AP-MT. The proliferative response to a different hsp. the Escherichia coli DnaK, by synovial fluid lymphocytes was marginal. Analysis of the synovial fluid T cell response to mycobacterial culture filtrates by T cell Western blotting revealed dominant responses to antigen(s) in the range of 31 to 21 kDa in each responding patient, although no other consistent pattern of T cell activation was noted. Three lines of evidence suggested that the response to the low molecular weight fractions was directed against degradation fragments of the 65-kDa protein. These observations suggest that the activation of T lymphocytes obtained from inflammatory synovial fluids by crude mycobacterial antigens was due in large part to recognition of the 65-kDa mycobacterial hsp.
authors.affiliation: Department of Medicine, Northwestern University, Chicago, Illinois.
authors.forename: R M
authors.initials: RM
authors.lastname: Pope
authors.forename: R S
authors.initials: RS
authors.lastname: Wallis
authors.forename: D
authors.initials: D
authors.lastname: Sailer
authors.forename: T M
authors.initials: TM
authors.lastname: Buchanan
authors.forename: M A
authors.initials: MA
authors.lastname: Pahlavani
mesh_terms: D000942:Antigens, Bacterial / Q000276:immunology*; D015535:Arthritis, Psoriatic / Q000276:immunology; D001172:Arthritis, Rheumatoid / Q000276:immunology; D002460:Cell Line; D006360:Heat-Shock Proteins / Q000276:immunology; D006801:Humans; D008213:Lymphocyte Activation; D008970:Molecular Weight; D009169:Mycobacterium tuberculosis / Q000276:immunology*; D010446:Peptide Fragments / Q000276:immunology; D013167:Spondylitis, Ankylosing / Q000276:immunology; D013585:Synovitis / Q000276:immunology*; D013601:T-Lymphocytes / Q000276:immunology*
chemical_list: D000942:Antigens, Bacterial; D006360:Heat-Shock Proteins; D010446:Peptide Fragments