title: T cell receptor distribution in rheumatoid synovial follicles.
abstract: OBJECTIVE
  In rheumatoid arthritis (RA) joint erosion is accompanied by T cell infiltration of the synovial tissue. The resulting T cell receptor (TCR) repertoire is a combination of antigen driven shaping, nonspecific selection by endothelial cell-T cell interactions, and cytokine mediated chemoattraction. Considering the conflicting results of molecular biology studies of the TCR repertoire in RA, we attempted to obtain new data to clarify the situation through microscopic distribution analysis of TCR beta chain diversity in synovium follicular CD4/CD8 subsets.
  
  
  METHODS
  We used dual color fluorescence confocal microscopy with CD4/CD8 monoclonal antibodies (Mab) and a panel of new anti-V beta Mab. The analysis focussed on lymphocyte rich, follicle-like areas of synovial tissue from 4 patients with RA.
  
  
  RESULTS
  The expression of individual TCR beta families varied between areas within the T cell follicles, and between patients. Normal absolute levels of some beta chains can be completely skewed towards one subset, indicating that overall TCR evaluation is insufficient.
  
  
  CONCLUSIONS
  Confocal microscopy analysis of localized TCR diversity in RA synovium offers novel insight into overall V beta gene usage, which appears to be the accumulation of several localized microexpansions.
authors.affiliation: Institut National de la Santé et de la Recherche Médicale (INSERM), Unité 291, Montpellier, France.
authors.forename: A
authors.initials: A
authors.lastname: Travaglio-Encinoza
authors.forename: I
authors.initials: I
authors.lastname: Chaouni
authors.forename: H
authors.initials: H
authors.lastname: Dersimonian
authors.forename: C
authors.initials: C
authors.lastname: Jorgensen
authors.forename: J
authors.initials: J
authors.lastname: Simony-Lafontaine
authors.forename: F
authors.initials: F
authors.lastname: Romagné
authors.forename: J
authors.initials: J
authors.lastname: Sany
authors.forename: A D
authors.initials: AD
authors.lastname: Dupuy d'Angeac
authors.forename: M B
authors.initials: MB
authors.lastname: Brenner
authors.forename: T
authors.initials: T
authors.lastname: Rème
mesh_terms: D000911:Antibodies, Monoclonal; D001172:Arthritis, Rheumatoid / Q000276:immunology / Q000378:metabolism* / Q000473:pathology; D016516:CD4-CD8 Ratio; D006801:Humans; D018613:Microscopy, Confocal; D016693:Receptors, Antigen, T-Cell, alpha-beta / Q000378:metabolism*; D013583:Synovial Membrane / Q000276:immunology / Q000378:metabolism* / Q000473:pathology; D016176:T-Lymphocyte Subsets / Q000276:immunology; D014018:Tissue Distribution
chemical_list: D000911:Antibodies, Monoclonal; D016693:Receptors, Antigen, T-Cell, alpha-beta