Objective. To identify features of the T cell receptors (TCRs) present on clonally expanded T cells in the joints of patients with similar types of childhood rheumatic disease. V,8 and V,20 TCRs were selected as prototypic for polyarticular juvenile rheumatoid arthritis (JRA) and pauciarticular/juvenile spondylarthropathy (SPA), respectively.
Methods.The portion of the TCR p chain involved in antigen recognition in the synovial tissue, synovial fluid, and peripheral blood from patients with JRA and juvenile SPA was cloned and sequenced. The frequency of expanded clonotypes, size of expansions, the J, region, and sequence motifs were determined for >2,000 sequences.Results. The majority of V,20 and V,8 clonal expansions were found in the joint rather than the peripheral blood. While instances of both V,8 and Vp20 clonal expansion were detected in all disease types, the features of these expanded clonotypes were specific for disease type and V, family. For example, V,20 clonal expansion was characterized by many small expanded ~~~ ~~