Shared recognition of citrullinated tenascin-C peptides by T and B cells in rheumatoid arthritis

Tenascin-C (TNC), an extracellular matrix protein that has proinflammatory properties, is a recently described antibody target in rheumatoid arthritis (RA). In this study, we utilized a systematic discovery process and identified 5 potentially novel citrullinated TNC (cit-TNC) T cell epitopes. CD4+...

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Main Authors: Song, J, Schwenzer, A, Midwood, KIM
Format: Journal article
Language:English
Published: American Society for Clinical Investigation 2021
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author Song, J
Schwenzer, A
Midwood, KIM
author_facet Song, J
Schwenzer, A
Midwood, KIM
author_sort Song, J
collection OXFORD
description Tenascin-C (TNC), an extracellular matrix protein that has proinflammatory properties, is a recently described antibody target in rheumatoid arthritis (RA). In this study, we utilized a systematic discovery process and identified 5 potentially novel citrullinated TNC (cit-TNC) T cell epitopes. CD4+ T cells specific for these epitopes were elevated in the peripheral blood of subjects with RA and showed signs of activation. Cit-TNC–specific T cells were also present among synovial fluid T cells and secreted IFN-γ. Two of these cit-TNC T cell epitopes were also recognized by antibodies within the serum and synovial fluid of individuals with RA. Detectable serum levels of cit-TNC–reactive antibodies were prevalent among subjects with RA and positively associated with cyclic citrullinated peptide (CCP) reactivity and the HLA shared epitope. Furthermore, cit-TNC–reactive antibodies were correlated with rheumatoid factor and elevated in subjects with a history of smoking. This work confirms cit-TNC as an autoantigen that is targeted by autoreactive CD4+ T cells and autoantibodies in patients with RA. Furthermore, our findings raise the possibility that coinciding epitopes recognized by both CD4+ T cells and B cells have the potential to amplify autoimmunity and promote the development and progression of RA.
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spelling oxford-uuid:356f1c9d-b9e2-4aef-8087-f58631739ad62022-03-26T13:31:55ZShared recognition of citrullinated tenascin-C peptides by T and B cells in rheumatoid arthritisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:356f1c9d-b9e2-4aef-8087-f58631739ad6EnglishSymplectic ElementsAmerican Society for Clinical Investigation2021Song, JSchwenzer, AMidwood, KIMTenascin-C (TNC), an extracellular matrix protein that has proinflammatory properties, is a recently described antibody target in rheumatoid arthritis (RA). In this study, we utilized a systematic discovery process and identified 5 potentially novel citrullinated TNC (cit-TNC) T cell epitopes. CD4+ T cells specific for these epitopes were elevated in the peripheral blood of subjects with RA and showed signs of activation. Cit-TNC–specific T cells were also present among synovial fluid T cells and secreted IFN-γ. Two of these cit-TNC T cell epitopes were also recognized by antibodies within the serum and synovial fluid of individuals with RA. Detectable serum levels of cit-TNC–reactive antibodies were prevalent among subjects with RA and positively associated with cyclic citrullinated peptide (CCP) reactivity and the HLA shared epitope. Furthermore, cit-TNC–reactive antibodies were correlated with rheumatoid factor and elevated in subjects with a history of smoking. This work confirms cit-TNC as an autoantigen that is targeted by autoreactive CD4+ T cells and autoantibodies in patients with RA. Furthermore, our findings raise the possibility that coinciding epitopes recognized by both CD4+ T cells and B cells have the potential to amplify autoimmunity and promote the development and progression of RA.
spellingShingle Song, J
Schwenzer, A
Midwood, KIM
Shared recognition of citrullinated tenascin-C peptides by T and B cells in rheumatoid arthritis
title Shared recognition of citrullinated tenascin-C peptides by T and B cells in rheumatoid arthritis
title_full Shared recognition of citrullinated tenascin-C peptides by T and B cells in rheumatoid arthritis
title_fullStr Shared recognition of citrullinated tenascin-C peptides by T and B cells in rheumatoid arthritis
title_full_unstemmed Shared recognition of citrullinated tenascin-C peptides by T and B cells in rheumatoid arthritis
title_short Shared recognition of citrullinated tenascin-C peptides by T and B cells in rheumatoid arthritis
title_sort shared recognition of citrullinated tenascin c peptides by t and b cells in rheumatoid arthritis
work_keys_str_mv AT songj sharedrecognitionofcitrullinatedtenascincpeptidesbytandbcellsinrheumatoidarthritis
AT schwenzera sharedrecognitionofcitrullinatedtenascincpeptidesbytandbcellsinrheumatoidarthritis
AT midwoodkim sharedrecognitionofcitrullinatedtenascincpeptidesbytandbcellsinrheumatoidarthritis