title: Defective TCR-mediated signaling in synovial T cells in rheumatoid arthritis.
abstract: In rheumatoid arthritis (RA), the functional status of T cells is incompletely understood. Synovial T cells display phenotypic evidence of former activation, but there is poor production of T cell-derived cytokines in the synovium. In addition, synovial T cell proliferation upon mitogenic and antigenic stimulation was decreased compared with that in peripheral blood T cells. Moreover, previous reports revealed that early Ca2+ rises induced by TCR/CD3 stimulation were decreased in RA T cells compared with those in healthy controls. To investigate the molecular mechanisms of RA synovial T cell hyporesponsiveness, we analyzed the TCR/CD3-mediated protein tyrosine phosphorylation in RA peripheral blood and synovial fluid (SF) T cells. SF T cells exhibited a decreased overall tyrosine phosphorylation pattern upon stimulation. Most notably, the induction of phosphorylation of p38 was virtually absent. Moreover, we found that tyrosine phosphorylation of the TCR zeta-chain, one of the most proximal events in TCR signaling, is clearly diminished in RA SF T cells. The decrease in tyrosine phosphorylation was accompanied by a decrease in detectable levels of zeta-protein within synovial T cells. These results suggest that a defective TCR signaling underlies the hyporesponsiveness of synovial T cells in RA.
authors.affiliation: Department of Rheumatology, Leiden University Hospital, The Netherlands.
authors.forename: M M
authors.initials: MM
authors.lastname: Maurice
authors.forename: A C
authors.initials: AC
authors.lastname: Lankester
authors.forename: A C
authors.initials: AC
authors.lastname: Bezemer
authors.forename: M F
authors.initials: MF
authors.lastname: Geertsma
authors.forename: P P
authors.initials: PP
authors.lastname: Tak
authors.forename: F C
authors.initials: FC
authors.lastname: Breedveld
authors.forename: R A
authors.initials: RA
authors.lastname: van Lier
authors.forename: C L
authors.initials: CL
authors.lastname: Verweij
mesh_terms: D001172:Arthritis, Rheumatoid / Q000276:immunology*; D002478:Cells, Cultured; D005434:Flow Cytometry; D006801:Humans; D007150:Immunohistochemistry; D008565:Membrane Proteins / Q000276:immunology*; D011948:Receptors, Antigen, T-Cell / Q000276:immunology*; D015398:Signal Transduction / Q000276:immunology*; D013583:Synovial Membrane / Q000276:immunology*; D013601:T-Lymphocytes / Q000276:immunology*
chemical_list: D008565:Membrane Proteins; D011948:Receptors, Antigen, T-Cell; C054979:antigen T cell receptor, zeta chain