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Clonal expansion is a characteristic feature of the B-cell repertoire of patients with rheumatoid arthritis

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Clonal expansion is a characteristic feature of the B-cell repertoire of patients with rheumatoid arthritis
Id. 17584504
Idioma inglés
Titulo Clonal expansion is a characteristic feature of the B-cell repertoire of patients with rheumatoid arthritis
Autor(es) Itoh, Kenji
Patki, Varsha
Furie, Richard A
Chartash, Elliot K
Jain, Rita I
Lane, Lewis
Asnis, Stanley E
Chiorazzi, Nicholas
Localización http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=17803
Versión 1.0
Estado Final
Descripción The present study was designed to analyze the level of B-cell clonal diversity in patients with rheumatoid arthritis by using HCDR3 (third complementarity determining region of the rearranged heavy chain variable region gene) length as a marker. A modified immunoglobulin VH gene fingerprinting method using either genomic DNA or complementary (c)DNA derived from B cells of the peripheral blood, synovial fluid, and tissues of several rheumatoid arthritis patients was employed. These assays permitted the detection and distinction of numerically expanded B-cell clones from activated but not numerically expanded B-cell clones. The present data suggest that B-cell clonal expansion is a common and characteristic feature of rheumatoid arthritis and that it occurs with increasing frequency from the blood to the synovial compartments, resulting in a narrowing of the clonal repertoire at the synovial level. These clonal expansions can involve resting, apparently memory B cells, as well as activated B cells. Furthermore, some of these individual expansions can persist over extended periods of time. These findings support the hypothesis that a chronic ongoing (auto)immune reaction is operative in rheumatoid arthritis and that this reaction, at least at the B-cell level, may be unique to each individual joint. A determination of the targets of these autoimmune reactions may provide valuable clues to help understand the immunopathogenesis of this disease.
Palabras clave Primary Research
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Copyright © 2000 Current Science Ltd
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Fecha de contribución 05-feb-2008
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