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Treatment with monoclonal anti-tumor necrosis factor alpha antibody results in an accumulation of Th1 CD4+ T cells in the peripheral blood of patients with rheumatoid arthritis.
- Source :
-
Arthritis and rheumatism [Arthritis Rheum] 1999 Oct; Vol. 42 (10), pp. 2166-73. - Publication Year :
- 1999
-
Abstract
- Objective: In rheumatoid arthritis (RA), treatment with tumor necrosis factor alpha (TNFalpha) binding agents has proven to be highly effective. Downregulation of the proinflammatory cytokine cascade and a reduced migration of leukocytes into the joints have been proposed as modes of action of TNFalpha blockade. We investigated whether alterations in the number of circulating pro- and antiinflammatory T cell subsets contribute to the therapeutic effect of monoclonal antibodies (mAb) against TNFalpha in RA patients.<br />Methods: Phenotypic analysis of peripheral blood T cell subsets was performed on blood from RA patients before and after treatment with an anti-TNFalpha mAb.<br />Results: An accumulation of primed CD45RA- T cells of both the CD4+ and the CD8+ T cell population was seen shortly after treatment. Most notably, within the CD4+,CD45RA- T cell subset, the number of interferon-gamma-producing T cells was significantly increased after anti-TNFalpha mAb treatment, resulting in a significant rise in the Th1:Th2 ratio. In addition, an increase in the number of CD4+ T cells expressing the homing receptor CD49d in high density was observed after treatment, which correlated positively with the increase in the Th1:Th2 ratio. Conclusion. We show that the Th1:Th2 ratio in the peripheral blood is raised by anti-TNFalpha mAb treatment.
- Subjects :
- Adult
Aged
Antibodies, Monoclonal immunology
CD4 Antigens immunology
Female
Humans
Immunotherapy
Lymphocyte Count
Male
Middle Aged
Th2 Cells immunology
Antibodies, Monoclonal administration & dosage
Arthritis, Rheumatoid drug therapy
Arthritis, Rheumatoid immunology
Th1 Cells immunology
Tumor Necrosis Factor-alpha immunology
Subjects
Details
- Language :
- English
- ISSN :
- 0004-3591
- Volume :
- 42
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Arthritis and rheumatism
- Publication Type :
- Academic Journal
- Accession number :
- 10524689
- Full Text :
- https://doi.org/10.1002/1529-0131(199910)42:10<2166::AID-ANR18>3.0.CO;2-K