PMID- 30052100 OWN - NLM STAT- MEDLINE DCOM- 20181218 LR - 20181218 IS - 2058-7384 (Electronic) IS - 0394-6320 (Print) IS - 0394-6320 (Linking) VI - 32 DP - 2018 Jan-Dec TI - Characteristic patterns of HLA presentation and T cell differentiation in adult-onset Still's disease. PG - 2058738418791284 LID - 10.1177/2058738418791284 [doi] LID - 2058738418791284 AB - We examined the expression of human leukocyte antigen (HLA) and composition of differentiated T cells in the peripheral blood to understand the characteristics of the immune changes in patients with adult-onset Still's disease (AOSD). This study enrolled patients with AOSD (n = 14), patients with rheumatoid arthritis (RA, n = 20), and healthy controls (HC, n = 20). The percentage of surface-stained cells with HLA-DP, DQ, and DR alleles and the composition of differentiated T cells in peripheral blood leukocytes (PBLs) were evaluated by flow cytometry. AOSD patients exhibited significantly higher percentages of lymphocytes presenting HLA-DP and HLA-DR, and lower percentages of cells presenting HLA-DQ, than RA patients or HC. The proportions of CD4+, CD4+CCR7+, CD4+CD62L-, and CD8+CD62L- cells from PBLs were decreased in AOSD patients relative to RA patients or HCs. By contrast, AOSD patients had higher proportions of CD8+naive T cells in whole blood relative to RA patients or HC. The proportions of CD4+ effector memory T cells, CD8+ naive T cells, and CD8+ effector memory T cells in whole blood cells and CD4+ effector memory T cell in lymphocytes were significantly associated with the systemic score. While the proportions of CD4+, CD8+, CCR7+, CD4+CCR7+, CD4+CD62L-, and CD8+CD62L- cells were significantly decreased in AOSD patients, and the proportion of CD8+naive T cells was elevated in AOSD and correlated with the systemic score. Further studies of a large cohort of AOSD patients will be necessary to evaluate these markers in the pathogenesis of AOSD. FAU - Jung, Ju-Yang AU - Jung JY AD - 1 Department of Rheumatology, School of Medicine, Ajou University, Suwon, Korea. FAU - Choi, Bunsoon AU - Choi B AD - 2 Department of Microbiology, School of Medicine, Ajou University, Suwon, Korea. FAU - Sayeed, Hasan Md AU - Sayeed HM AUID- ORCID: 0000-0002-1090-7322 AD - 3 Department of Biomedical Science, School of Medicine, Ajou University, Suwon, Korea. FAU - Suh, Chang-Hee AU - Suh CH AD - 1 Department of Rheumatology, School of Medicine, Ajou University, Suwon, Korea. FAU - Kim, Ye Won AU - Kim YW AUID- ORCID: 0000-0003-2609-3367 AD - 1 Department of Rheumatology, School of Medicine, Ajou University, Suwon, Korea. FAU - Kim, Hyoun-Ah AU - Kim HA AD - 1 Department of Rheumatology, School of Medicine, Ajou University, Suwon, Korea. FAU - Sohn, Seonghyang AU - Sohn S AD - 2 Department of Microbiology, School of Medicine, Ajou University, Suwon, Korea. AD - 3 Department of Biomedical Science, School of Medicine, Ajou University, Suwon, Korea. LA - eng PT - Journal Article PL - England TA - Int J Immunopathol Pharmacol JT - International journal of immunopathology and pharmacology JID - 8911335 RN - 0 (HLA Antigens) SB - IM MH - Adult MH - Aged MH - Cell Differentiation MH - Female MH - HLA Antigens/*immunology MH - Humans MH - Male MH - Middle Aged MH - Still's Disease, Adult-Onset/*immunology MH - T-Lymphocytes/cytology/*immunology PMC - PMC6073833 OTO - NOTNLM OT - T cell OT - adult-onset still's disease OT - biomarker OT - disease activity OT - human leukocyte antigen COIS- Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2018/07/28 06:00 MHDA- 2018/12/19 06:00 PMCR- 2018/07/27 CRDT- 2018/07/28 06:00 PHST- 2018/07/28 06:00 [entrez] PHST- 2018/07/28 06:00 [pubmed] PHST- 2018/12/19 06:00 [medline] PHST- 2018/07/27 00:00 [pmc-release] AID - 10.1177_2058738418791284 [pii] AID - 10.1177/2058738418791284 [doi] PST - ppublish SO - Int J Immunopathol Pharmacol. 2018 Jan-Dec;32:2058738418791284. doi: 10.1177/2058738418791284.