PMID- 34428762 OWN - NLM STAT- MEDLINE DCOM- 20220406 LR - 20220716 IS - 1662-8128 (Electronic) IS - 1662-811X (Print) IS - 1662-811X (Linking) VI - 14 IP - 2 DP - 2022 TI - T-Cell Immune Imbalance in Rheumatoid Arthritis Is Associated with Alterations in NK Cells and NK-Like T Cells Expressing CD38. PG - 148-166 LID - 10.1159/000516642 [doi] AB - BACKGROUND: CD38+ NK (CD3- CD16+ CD38+ CD56+) cells were increased in rheumatoid arthritis (RA), which suppressed Treg cell differentiation. This study explored how CD38+ NK cells regulated CD4+ T-cell differentiation into Treg cells in RA. METHODS: Proportions of CD38+ NK cells and their counterpart CD38+ NK-like T (CD3+ CD16+ CD38+ CD56+) cells were measured in RA and rats with collagen-induced arthritis (CIA). CD38+ NK cells and CD38+ NK-like T cells were cocultured with CD4+ T cells, respectively. RESULTS: A significantly increased proportion of CD38+ NK cells and a decreased proportion of CD38+ NK-like T cells were detected in RA and CIA blood and synovial fluids. When CD4+ T cells were cocultured with CD38+ NK cells, mammalian target of rapamycin (mTOR) signaling was activated, and Th1/Th2 and Th17/Treg ratios were increased. When CD38+ NK cells were pretreated with anti-CD38 antibody, Treg cell proportion was increased, and Th1/Th2 and Th17/Treg ratios were decreased. CD38+ NK-like T cells showed the opposite results. CD38+ NK cells and CD38+ NK-like-T cells activated differential gene expressions and pathways in CD4+ T cells and initiated Th1 and Th2 cell differentiation by differential gene nodes. CONCLUSIONS: This study suggest that the high CD38+ NK cell proportion and low CD38+ NK-like T cell proportion in RA suppress Treg cell differentiation by stimulating mTOR signaling in CD4+ T cells, which consequentially disturbs the immune tolerance. CI - (c) 2021 The Author(s) Published by S. Karger AG, Basel. FAU - Wang, Hongxing AU - Wang H AD - Medical Research Center of The Affiliated Hospital of Qingdao University, Qingdao, China. AD - Clinical Laboratory of Qilu Hospital, Shandong University, Jinan, China. FAU - Fang, Kehua AU - Fang K AD - Clinical Laboratory of The Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Yan, Weining AU - Yan W AD - Joint Surgery Department of The Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Chang, Xiaotian AU - Chang X AD - Medical Research Center of The Affiliated Hospital of Qingdao University, Qingdao, China. AD - Qingdao Engineering Technology Center for Major Disease Marker, Qingdao, China. LA - eng PT - Journal Article DEP - 20210824 PL - Switzerland TA - J Innate Immun JT - Journal of innate immunity JID - 101469471 RN - 0 (Membrane Glycoproteins) RN - EC 3.2.2.5 (ADP-ribosyl Cyclase) RN - EC 3.2.2.5 (Cd38 protein, rat) RN - EC 3.2.2.6 (ADP-ribosyl Cyclase 1) SB - IM MH - ADP-ribosyl Cyclase/metabolism MH - ADP-ribosyl Cyclase 1/metabolism MH - Animals MH - *Arthritis, Experimental/metabolism MH - *Arthritis, Rheumatoid/metabolism MH - Killer Cells, Natural MH - Membrane Glycoproteins/metabolism MH - Rats MH - T-Lymphocytes, Regulatory MH - Th17 Cells PMC - PMC9082181 OTO - NOTNLM OT - CD38+ NK cells OT - CD38+ NK-like T cells OT - Cluster of differentiation 38 OT - Collagen-induced arthritis OT - Immune tolerance OT - Rheumatoid arthritis OT - Treg cells COIS- The authors declare that they have no competing interests. EDAT- 2021/08/25 06:00 MHDA- 2022/04/07 06:00 PMCR- 2021/08/24 CRDT- 2021/08/24 20:27 PHST- 2020/06/16 00:00 [received] PHST- 2021/04/18 00:00 [accepted] PHST- 2021/08/25 06:00 [pubmed] PHST- 2022/04/07 06:00 [medline] PHST- 2021/08/24 20:27 [entrez] PHST- 2021/08/24 00:00 [pmc-release] AID - 000516642 [pii] AID - jin-0014-0148 [pii] AID - 10.1159/000516642 [doi] PST - ppublish SO - J Innate Immun. 2022;14(2):148-166. doi: 10.1159/000516642. Epub 2021 Aug 24.