PMID- 29059705 OWN - NLM STAT- MEDLINE DCOM- 20190508 LR - 20190508 IS - 1552-4957 (Electronic) IS - 1552-4949 (Linking) VI - 94 IP - 3 DP - 2018 May TI - Low synovial double negative T and gammadelta T cells predict longer free-disease survival in oligoarticular JIA. PG - 423-427 LID - 10.1002/cyto.b.21597 [doi] AB - BACKGROUND: Oligoarticular juvenile idiopathic arthritis (oJIA) is the most frequent form of chronic arthritis in children; the clinical course is extremely variable. In this study we have characterized by flow cytometry synovial B and T cells subsets in patients with oJIA in order to identify any parameters that could predict a more aggressive course of disease. METHODS: B and T cells from synovial fluid (SF) of 39 patients with oJIA were characterized by flow cytometry. In 22 patients SF was analysed at the onset of the disease (GroupA), in 17 SF was analysed at articular relapse (Group B). All patients in Group A were followed up for at least for 2 years after SF analysis: 13 patients relapsed during the follow-up period. RESULTS: Comparison of SF from Group A and Group B demonstrated an activated phenotype in relapsed patients, with higher Switched Memory B cells (58.53 vs 36.07% of CD19+, P-value 0.004) and lower Naive B cells (8.53 vs 25.9 of CD19+, P-value 0.002) in Group B. Furthermore, patients from Group A who did not relapse showed lower percentages of synovial DNT (2.38 vs 1.50% of CD3 + TCRalpha/beta+, P-value 0.025) and gammadelta T cells (19.1 vs 15.0% of CD3+ cells, P-value 0.004) at the onset, if compared with other Group A patients. CONCLUSIONS: In oJIA relapse SF present an activated B phenotype. Patients at disease onset with DNTs <1.8% and/or gammadelta T cells <16% of CD3+ in synovial fluid have longer free-disease survival. (c) 2017 International Clinical Cytometry Society. CI - (c) 2017 International Clinical Cytometry Society. FAU - Licciardi, Francesco AU - Licciardi F AD - Department of Pediatrics, Citta della Salute e della Scienza, Regina Margherita Children Hospital, Turin, Italy. FAU - Ceci, Maria AU - Ceci M AD - Department of Pediatrics, Citta della Salute e della Scienza, Regina Margherita Children Hospital, Turin, Italy. FAU - Toppino, Claudia AU - Toppino C AD - Department of Pediatrics, Citta della Salute e della Scienza, Regina Margherita Children Hospital, Turin, Italy. FAU - Turco, Marco AU - Turco M AD - Department of Pediatrics, Citta della Salute e della Scienza, Regina Margherita Children Hospital, Turin, Italy. FAU - Martino, Silvana AU - Martino S AD - Department of Pediatrics, Citta della Salute e della Scienza, Regina Margherita Children Hospital, Turin, Italy. FAU - Ricotti, Emanuela AU - Ricotti E AD - Department of Pediatrics, Citta della Salute e della Scienza, Regina Margherita Children Hospital, Turin, Italy. FAU - Ferro, Francesca AU - Ferro F AD - Department of Immunohaematology, Cardinal Massaia Hospital, Asti, Italy. FAU - Montin, Davide AU - Montin D AD - Department of Pediatrics, Citta della Salute e della Scienza, Regina Margherita Children Hospital, Turin, Italy. LA - eng PT - Journal Article DEP - 20171115 PL - United States TA - Cytometry B Clin Cytom JT - Cytometry. Part B, Clinical cytometry JID - 101235690 RN - 0 (Antigens, CD19) SB - IM MH - Antigens, CD19/immunology MH - Arthritis, Juvenile/*immunology/*mortality MH - B-Lymphocytes/immunology MH - Child MH - Child, Preschool MH - Disease-Free Survival MH - Female MH - Flow Cytometry/methods MH - Humans MH - Male MH - Synovial Fluid/*immunology MH - T-Lymphocyte Subsets/*immunology OTO - NOTNLM OT - DNT OT - JIA OT - prognostic factor OT - gammadelta T cells EDAT- 2017/10/24 06:00 MHDA- 2019/05/09 06:00 CRDT- 2017/10/24 06:00 PHST- 2017/06/15 00:00 [received] PHST- 2017/09/20 00:00 [revised] PHST- 2017/10/18 00:00 [accepted] PHST- 2017/10/24 06:00 [pubmed] PHST- 2019/05/09 06:00 [medline] PHST- 2017/10/24 06:00 [entrez] AID - 10.1002/cyto.b.21597 [doi] PST - ppublish SO - Cytometry B Clin Cytom. 2018 May;94(3):423-427. doi: 10.1002/cyto.b.21597. Epub 2017 Nov 15.