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Pathological role of activated mTOR in CXCR3+ memory B cells of rheumatoid arthritis.

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机构: [1]First Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan, [2]Department of Hematology, the Fourth Hospital of Hebei Medical University, Shijiazhuang, China, [3]Astellas Pharma, Inc., Tsukuba, Japan, [4]Department of Clinical Subjects, Al-Farabi Kazakh National University, Almaty, Kazakhstan [5]Mitsubishi Tanabe Pharma Corp, Yokohama, Kanagawa, Japan
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关键词: B-lymphocyte autoimmune diseases cell-signalling molecules immunology rheumatoid arthritis

摘要:
B cells play an important pathological role in rheumatoid arthritis (RA). In this study, we investigated the role of metabolic regulator mTOR in B cells and its relevance to the pathology of RA. Peripheral blood mononuclear cells were isolated from 31 normal subjects and 86 RA patients and the gated B cells were assessed for mTOR phosphorylation and chemokine receptor expression. In vitro studies on peripheral blood B cells isolated from the control and RA patients investigated the molecular mechanisms. Higher concentrations of CXCL10 (CXCR3 ligands) and lower percentages of CXCR3+ memory B cells were present in the peripheral blood of RA patients relative to the control. RA patients with high CXCL10 concentrations had smaller percentage of CXCR3+ memory B cells and high disease activity. One-year treatment with TNF inhibitors increased the percentage of CXCR3+ memory B cells and reduced serum CXCL10 concentrations. mTOR phosphorylation in B cells was further enhanced in RA patients, compared to the control, and was selectively enhanced in CXCR3+ memory B cells. mTOR phosphorylation in CXCR3+ memory B cells correlated with disease activity. In vitro, mTOR phosphorylation in B cells enhanced IL-6 production and increased RANKL expression. mTOR activation in CXCR3+ memory B cells of RA patients is associated with disease activity, mediated through IL-6 production and RANKL expression. The obtained results also suggest that TNF inhibitors mediate an impact on the association between CXCL10 and mTOR activated CXCR3+ memory B cells. © The Author(s) 2021. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 风湿病学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 风湿病学
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出版当年[2021]版:
Q1 RHEUMATOLOGY
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Q1 RHEUMATOLOGY

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第一作者机构: [1]First Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan,
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通讯机构: [1]First Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan, [*1]Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi, Kitakyushu 807- 8555, Japan
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