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T-cell subset abnormalities predict progression along the Inflammatory Arthritis disease continuum: implications for management.


ABSTRACT: The presence of a disease continuum in inflammatory arthritis (IA) is a recognised concept, with distinct stages from at-risk stage (presence of anti citrullinated-peptide autoantibody) to diagnosis of rheumatoid arthritis (RA), including therapy-induced remission. Despite T-cell dysregulation being a key feature of RA, there are few reports of T-cell phenotyping along the IA-continuum. We investigated the disturbances of naïve, regulatory and inflammation related cell (IRC) CD4+ T-cell subsets in 705 individuals across the IA-continuum, developing a simple risk-score (summing presence/absence of a risk-associated with a subset) to predict progression from one stage to the next. In 158 at-risk individuals, the 3 subsets had individual association with progression to IA and the risk-score was highly predictive (p?

SUBMITTER: Ponchel F 

PROVIDER: S-EPMC7048829 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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T-cell subset abnormalities predict progression along the Inflammatory Arthritis disease continuum: implications for management.

Ponchel Frederique F   Burska Agata N AN   Hunt Laura L   Gul Hanna H   Rabin Thibault T   Parmar Rekha R   Buch Maya H MH   Conaghan Philip G PG   Emery Paul P  

Scientific reports 20200228 1


The presence of a disease continuum in inflammatory arthritis (IA) is a recognised concept, with distinct stages from at-risk stage (presence of anti citrullinated-peptide autoantibody) to diagnosis of rheumatoid arthritis (RA), including therapy-induced remission. Despite T-cell dysregulation being a key feature of RA, there are few reports of T-cell phenotyping along the IA-continuum. We investigated the disturbances of naïve, regulatory and inflammation related cell (IRC) CD4+ T-cell subsets  ...[more]

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