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*Substance via MeSH
Medline Plus Health Information
*Joint Disorders
*Rheumatoid Arthritis
The Journal of Immunology, 2000, 165: 6590-6598.
Copyright © 2000 by The American Association of Immunologists

Stromal Cell-Derived Factor-1-CXC Chemokine Receptor 4 Interactions Play a Central Role in CD4+ T Cell Accumulation in Rheumatoid Arthritis Synovium1

Toshihiro Nanki2,*, Kenji Hayashida*,{dagger}, Hani S. El-Gabalawy{ddagger}, Sharon Suson{ddagger}, Kenrin Shi{dagger}, Hermann J. Girschick*, Sule Yavuz2,* and Peter E. Lipsky2,3,*,{ddagger}

* Department of Internal Medicine and Harold C. Simmons Arthritis Research Center, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75235; {dagger} Department of Orthopedic Surgery, Osaka University Medical School, Osaka, Japan; and {ddagger} National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, MD 20892

Rheumatoid arthritis (RA) is characterized by the accumulation of CD4+ memory T cells in the inflamed synovium. To address the mechanism, we analyzed chemokine receptor expression and found that the frequency of CXC chemokine receptor (CXCR)4 expressing synovial tissue CD4+ memory T cells was significantly elevated. CXCR4 expression could be enhanced by IL-15, whereas stromal cell-derived factor (SDF)-1, the ligand of CXCR4, was expressed in the RA synovium and could be increased by CD40 stimulation. SDF-1 stimulated migration of rheumatoid synovial T cells and also inhibited activation-induced apoptosis of T cells. These results indicate that SDF-1-CXCR4 interactions play important roles in CD4+ memory T cell accumulation in the RA synovium, and emphasize the role of stromal cells in regulating rheumatoid inflammation.




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