Frontiers in Immunology (Jan 2023)

Disordered T cell-B cell interactions in autoantibody-positive inflammatory arthritis

  • Amélie M. Julé,
  • Ki Pui Lam,
  • Maria Taylor,
  • Kacie J. Hoyt,
  • Kevin Wei,
  • Maria Gutierrez-Arcelus,
  • Maria Gutierrez-Arcelus,
  • Maria Gutierrez-Arcelus,
  • Siobhan M. Case,
  • Siobhan M. Case,
  • Mia Chandler,
  • Margaret H. Chang,
  • Margaret H. Chang,
  • Ezra M. Cohen,
  • Ezra M. Cohen,
  • Fatma Dedeoglu,
  • Olha Halyabar,
  • Jonathan Hausmann,
  • Melissa M. Hazen,
  • Erin Janssen,
  • Jeffrey Lo,
  • Mindy S. Lo,
  • Esra Meidan,
  • Jordan E. Roberts,
  • Holly Wobma,
  • Mary Beth F. Son,
  • Robert P. Sundel,
  • Pui Y. Lee,
  • Pui Y. Lee,
  • Peter T. Sage,
  • Talal A. Chatila,
  • Peter A. Nigrovic,
  • Peter A. Nigrovic,
  • Deepak A. Rao,
  • Lauren A. Henderson

DOI
https://doi.org/10.3389/fimmu.2022.1068399
Journal volume & issue
Vol. 13

Abstract

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T peripheral helper (Tph) cells, identified in the synovium of adults with seropositive rheumatoid arthritis, drive B cell maturation and antibody production in non-lymphoid tissues. We sought to determine if similarly dysregulated T cell-B cell interactions underlie another form of inflammatory arthritis, juvenile oligoarthritis (oligo JIA). Clonally expanded Tph cells able to promote B cell antibody production preferentially accumulated in the synovial fluid (SF) of oligo JIA patients with antinuclear antibodies (ANA) compared to autoantibody-negative patients. Single-cell transcriptomics enabled further definition of the Tph gene signature in inflamed tissues and showed that Tph cells from ANA-positive patients upregulated genes associated with B cell help to a greater extent than patients without autoantibodies. T cells that co-expressed regulatory T and B cell-help factors were identified. The phenotype of these Tph-like Treg cells suggests an ability to restrain T cell-B cell interactions in tissues. Our findings support the central role of disordered T cell-help to B cells in autoantibody-positive arthritides.

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