title: Phenotypic and functional characterisation of CCR7+ and CCR7- CD4+ memory T cells homing to the joints in juvenile idiopathic arthritis.
abstract: The aim of the study was to characterise CCR7+ and CCR7- memory T cells infiltrating the inflamed joints of patients with juvenile idiopathic arthritis (JIA) and to investigate the functional and anatomical heterogeneity of these cell subsets in relation to the expression of the inflammatory chemokine receptors CXCR3 and CCR5. Memory T cells freshly isolated from the peripheral blood and synovial fluid (SF) of 25 patients with JIA were tested for the expression of CCR7, CCR5, CXCR3 and interferon-gamma by flow cytometry. The chemotactic activity of CD4 SF memory T cells from eight patients with JIA to inflammatory (CXCL11 and CCL3) and homeostatic (CCL19, CCL21) chemokines was also evaluated. Paired serum and SF samples from 28 patients with JIA were tested for CCL21 concentrations. CCR7, CXCR3, CCR5 and CCL21 expression in synovial tissue from six patients with JIA was investigated by immunohistochemistry. Enrichment of CD4+, CCR7- memory T cells was demonstrated in SF in comparison with paired blood from patients with JIA. SF CD4+CCR7- memory T cells were enriched for CCR5+ and interferon-gamma+ cells, whereas CD4+CCR7+ memory T cells showed higher coexpression of CXCR3. Expression of CCL21 was detected in both SF and synovial membranes. SF CD4+ memory T cells displayed significant migration to both inflammatory and homeostatic chemokines. CCR7+ T cells were detected in the synovial tissue in either diffuse perivascular lymphocytic infiltrates or organised lymphoid aggregates. In synovial tissue, a large fraction of CCR7+ cells co-localised with CXCR3, especially inside lymphoid aggregates, whereas CCR5+ cells were enriched in the sublining of the superficial subintima. In conclusion, CCR7 may have a role in the synovial recruitment of memory T cells in JIA, irrespective of the pattern of lymphoid organisation. Moreover, discrete patterns of chemokine receptor expression are detected in the synovial tissue.
authors.affiliation: II Division of Pediatrics, University of Genoa, Genoa, Italy. marcogattorno@ospedale-gaslini.ge.it
authors.forename: Marco
authors.initials: M
authors.lastname: Gattorno
authors.forename: Ignazia
authors.initials: I
authors.lastname: Prigione
authors.forename: Fabio
authors.initials: F
authors.lastname: Morandi
authors.forename: Andrea
authors.initials: A
authors.lastname: Gregorio
authors.forename: Sabrina
authors.initials: S
authors.lastname: Chiesa
authors.forename: Francesca
authors.initials: F
authors.lastname: Ferlito
authors.forename: Anna
authors.initials: A
authors.lastname: Favre
authors.forename: Antonio
authors.initials: A
authors.lastname: Uccelli
authors.forename: Claudio
authors.initials: C
authors.lastname: Gambini
authors.forename: Alberto
authors.initials: A
authors.lastname: Martini
authors.forename: Vito
authors.initials: V
authors.lastname: Pistoia
mesh_terms: D000293:Adolescent; D015703:Antigens, CD / Q000032:analysis; D001171:Arthritis, Juvenile / Q000097:blood / Q000276:immunology* / Q000473:pathology; D015496:CD4-Positive T-Lymphocytes / Q000737:chemistry / Q000276:immunology*; D002478:Cells, Cultured / Q000502:physiology; D054421:Chemokine CCL21; D019742:Chemokines, CC / Q000032:analysis; D002634:Chemotaxis, Leukocyte; D002648:Child; D002675:Child, Preschool; D005260:Female; D005434:Flow Cytometry; D006801:Humans; D007156:Immunologic Memory; D016130:Immunophenotyping; D007371:Interferon-gamma / Q000032:analysis; D008297:Male; D018448:Models, Immunological; D009928:Organ Specificity; D019713:Receptors, CCR5 / Q000819:agonists / Q000032:analysis; D054400:Receptors, CCR7; D054367:Receptors, CXCR3; D019707:Receptors, Chemokine / Q000819:agonists / Q000032:analysis* / Q000096:biosynthesis / Q000235:genetics; D013582:Synovial Fluid / Q000166:cytology*; D013583:Synovial Membrane / Q000737:chemistry / Q000473:pathology*
chemical_list: D015703:Antigens, CD; C515478:CCL21 protein, human; C515370:CCR7 protein, human; C515187:CXCR3 protein, human; D054421:Chemokine CCL21; D019742:Chemokines, CC; D019713:Receptors, CCR5; D054400:Receptors, CCR7; D054367:Receptors, CXCR3; D019707:Receptors, Chemokine; D007371:Interferon-gamma
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