Seven-chain adaptive immune receptor repertoire analysis in rheumatoid arthritis reveals novel features associated with disease and clinically relevant phenotypes

© 2024. The Author(s)..

BACKGROUND: In rheumatoid arthritis (RA), the activation of T and B cell clones specific for self-antigens leads to the chronic inflammation of the synovium. Here, we perform an in-depth quantitative analysis of the seven chains that comprise the adaptive immune receptor repertoire (AIRR) in RA.

RESULTS: In comparison to controls, we show that RA patients have multiple and strong differences in the B cell receptor repertoire including reduced diversity as well as altered isotype, chain, and segment frequencies. We demonstrate that therapeutic tumor necrosis factor inhibition partially restores this alteration but find a profound difference in the underlying biochemical reactivities between responders and non-responders. Combining the AIRR with HLA typing, we identify the specific T cell receptor repertoire associated with disease risk variants. Integrating these features, we further develop a molecular classifier that shows the utility of the AIRR as a diagnostic tool.

CONCLUSIONS: Simultaneous sequencing of the seven chains of the human AIRR reveals novel features associated with the disease and clinically relevant phenotypes, including response to therapy. These findings show the unique potential of AIRR to address precision medicine in immune-related diseases.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Genome biology - 25(2024), 1 vom: 11. März, Seite 68

Sprache:

Englisch

Beteiligte Personen:

Aterido, Adrià [VerfasserIn]
López-Lasanta, María [VerfasserIn]
Blanco, Francisco [VerfasserIn]
Juan-Mas, Antonio [VerfasserIn]
García-Vivar, María Luz [VerfasserIn]
Erra, Alba [VerfasserIn]
Pérez-García, Carolina [VerfasserIn]
Sánchez-Fernández, Simón Ángel [VerfasserIn]
Sanmartí, Raimon [VerfasserIn]
Fernández-Nebro, Antonio [VerfasserIn]
Alperi-López, Mercedes [VerfasserIn]
Tornero, Jesús [VerfasserIn]
Ortiz, Ana María [VerfasserIn]
Fernández-Cid, Carlos Marras [VerfasserIn]
Palau, Núria [VerfasserIn]
Pan, Wenjing [VerfasserIn]
Byrne-Steele, Miranda [VerfasserIn]
Starenki, Dmytro [VerfasserIn]
Weber, Daniel [VerfasserIn]
Rodriguez-Nunez, Ivan [VerfasserIn]
Han, Jian [VerfasserIn]
Myers, Richard M [VerfasserIn]
Marsal, Sara [VerfasserIn]
Julià, Antonio [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Tumor Necrosis Factor-alpha

Anmerkungen:

Date Completed 13.03.2024

Date Revised 15.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s13059-024-03210-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369580133