1997
DOI: 10.1002/1529-0131(199707)40:7<1210::aid-art4>3.0.co;2-t
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T cell responses to human type II collagen in patients with rheumatoid arthritis and healthy controls

Abstract: Proliferative T cell responses to CII occur in some healthy individuals, suggesting that thymic tolerance for this antigen may be incomplete. Most patients with RA have no evidence of a T cell response to CII, possibly indicating the development of peripheral tolerance to this antigen as a consequence of cartilage breakdown. However, in a minority of patients, T and B cell responses to CII persist, and may contribute to joint damage.

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Cited by 40 publications
(25 citation statements)
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“…Our culture conditions were different from those in previous studies in terms of the dose of antigen and the number of antigen-presenting cells (17,32). This result supports the recent report that the response of PBMC to purified protein derivative (PPD) and tetanus toxoid did not differ significantly between healthy controls and patients with early RA or late RA (31).…”
supporting
confidence: 79%
“…Our culture conditions were different from those in previous studies in terms of the dose of antigen and the number of antigen-presenting cells (17,32). This result supports the recent report that the response of PBMC to purified protein derivative (PPD) and tetanus toxoid did not differ significantly between healthy controls and patients with early RA or late RA (31).…”
supporting
confidence: 79%
“…Against this deduction, a substantial proportion of RA patients did not have PBMC which responded to IgG. However, T cells from RA patients respond more frequently than those from normal individuals to other joint antigens including type II collagen 19 and peptides corresponding to the sequence of cartilage glycoprotein 39 16 . It may therefore be that T cells reactive with different joint antigens can trigger the same or similar final common pathways.…”
Section: Discussionmentioning
confidence: 99%
“…Despite these results, the majority of RA patients do not appear to harbour type II collagen reactive T cells 17 . T cells from RA patients respond rarely to human hsp 60 18 , 19 and PBMC from many RA individuals fail to respond to cartilage glycoprotein peptides 16 . It could be argued therefore either that RA is neither initiated nor perpetuated by T cells reacting with joint antigens or that other antigens remain to be identified.…”
Section: Introductionmentioning
confidence: 98%
“…The involvement of CII in RA has, however, had a rather chequered history. Although there is now general consensus that humoral immunity to CII is associated with RA, it has been much more difficult to establish a direct role for CII-reactive T cells in the pathogenesis of RA (for example, see [4,5]). Moreover, treatment of RA patients with oral CII has not been as successful as expected on the basis of results obtained from similar trials in collagen-induced arthritis in animals [6].…”
Section: Full Textmentioning
confidence: 99%