title: Clonal expansion of mycobacterial heat-shock protein-reactive T lymphocytes in the synovial fluid and blood of rheumatoid arthritis patients.
abstract: OBJECTIVE
  To examine the reactivity pattern and T cell receptor (TCR) characteristics of mycobacterial heat-shock protein 65 (hsp65)-reactive T cells generated from paired synovial fluid (SF) and peripheral blood (PB) samples obtained from rheumatoid arthritis (RA) patients and from healthy subjects.
  
  
  METHODS
  The reactivity pattern of hsp65-reactive T cell clones generated under limiting-dilution conditions was analyzed in 3H-thymidine incorporation assays. The TCR variable regions of these hsp65-reactive T cells were characterized by polymerase chain reaction with TCR AV- and BV-specific primers and by DNA sequence analysis of the third complementarity-determining region (CDR3).
  
  
  RESULTS
  The hsp65-reactive T cells derived both from RA patients and controls preferentially recognized the 1-170 and 303-540 regions of hsp65 and did not cross-react with human hsp60. The hsp65-reactive T cell clones derived from RA patients displayed a restricted TCR AV and BV gene usage, which can be attributed to the limited clonal origin(s) of the independent T cell clones, as evidenced by CDR3 sequence analysis. These clonally expanded T cells were found in both PB and SF and in different inflamed joints of RA patients.
  
  
  CONCLUSIONS
  Our study suggests that there is in vivo clonal activation and expansion of mycobacterial hsp65-reactive T cells in patients with RA.
authors.affiliation: Willems-Instituut, Diepenbeek, Belgium.
authors.forename: L
authors.initials: L
authors.lastname: Celis
authors.forename: C
authors.initials: C
authors.lastname: Vandevyver
authors.forename: P
authors.initials: P
authors.lastname: Geusens
authors.forename: J
authors.initials: J
authors.lastname: Dequeker
authors.forename: J
authors.initials: J
authors.lastname: Raus
authors.forename: J
authors.initials: J
authors.lastname: Zhang
mesh_terms: D000942:Antigens, Bacterial / Q000032:analysis; D001172:Arthritis, Rheumatoid / Q000097:blood / Q000473:pathology*; D001426:Bacterial Proteins / Q000032:analysis; D018834:Chaperonin 60; D018833:Chaperonins / Q000032:analysis / Q000737:chemistry; D002999:Clone Cells / Q000737:chemistry / Q000502:physiology; D006801:Humans; D007719:Knee Joint / Q000166:cytology; D010446:Peptide Fragments / Q000502:physiology; D016693:Receptors, Antigen, T-Cell, alpha-beta / Q000235:genetics; D017422:Sequence Analysis, DNA; D013582:Synovial Fluid / Q000166:cytology; D013601:T-Lymphocytes / Q000737:chemistry / Q000166:cytology
chemical_list: D000942:Antigens, Bacterial; D001426:Bacterial Proteins; D018834:Chaperonin 60; D010446:Peptide Fragments; D016693:Receptors, Antigen, T-Cell, alpha-beta; C074119:heat-shock protein 65, Mycobacterium; D018833:Chaperonins