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Plasma Cell Development in Synovial Germinal Centers in Patients with Rheumatoid and Reactive Arthritis

Hye-Jung Kim, Veit Krenn, Gudrun Steinhauser and Claudia Berek
J Immunol March 1, 1999, 162 (5) 3053-3062;
Hye-Jung Kim
*Deutsches Rheuma ForschungsZentrum, Berlin, Germany; and
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Veit Krenn
†Institut für Pathologie, Universität Würzburg, Germany
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Gudrun Steinhauser
*Deutsches Rheuma ForschungsZentrum, Berlin, Germany; and
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Claudia Berek
*Deutsches Rheuma ForschungsZentrum, Berlin, Germany; and
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  • FIGURE 1.
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    FIGURE 1.

    Immunohistology of the ST of patients with RA and ReA. Frozen tissue sections (6 μm) were labeled with mAbs specific for FDC (A, D, and E), plasma cells (B and F), CD4 (C and G), and CD20 (H). A double labeling with Abs specific for Ki-67 (brown color) and plasma cells (red color) is shown (B). A, B, and E–H, Consecutive sections from the ST of patient RA-PS: infiltrate VI is the right hand cluster seen in A and B, infiltrate I is shown in E–H. Infiltrate II from the ST of patient ReA-TS is shown in C and D.

  • FIGURE 2.
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    FIGURE 2.

    Stepwise accumulation of somatic mutations. V gene diversification is shown for a heavy chain (VH3–8) (A) and a light chain (DPL23) (B) rearrangement. Numbered circles indicate isolated sequences, empty circles indicate hypothetical intermediates. Numbers besides the arrows refer to the number of nucleotide exchanges that distinguish one sequence from another. Data were obtained with two independent PCR reactions (indicated by open and shaded circles).

  • FIGURE 3.
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    FIGURE 3.

    Diversity of V gene sequences isolated from infiltrate I of patient RA-PS. The diversity of B cells isolated from the network of FDC (A and D), the T cell-rich zone (B and E), and the ring of plasma cells (C and F) is shown. A–C, The repertoire of productively rearranged VH genes is shown. D–F, The number of nucleotide differences to the presumptive germline genes is shown. The somatic diversity is given for heavy and light chain sequences. For the two rearrangements where intraclonal diversity was found, the number of nucleotide exchanges are shown by open bars. For VH genes, the nomenclature of Matsuda et al. is given (26).

  • FIGURE 4.
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    FIGURE 4.

    Diversity of V gene sequences isolated from infiltrate II of patient ReA-TS. The diversity of B cells isolated from the network of FDC (A and C) and the ring of plasma cells (B and D) is shown. A and B, The repertoire of productively rearranged VH genes is shown. C and D, The number of nucleotide differences to the presumptive germline genes is shown. Results from two consecutive sections are summarized. 4-Or corresponds to the VH-4 gene DP69, which is an orphan gene located on chromosome 15 (4-OR15-8; IMGT database, M.-P. Lefranc). For further details, see Fig. 3.

  • FIGURE 5.
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    FIGURE 5.

    Intraclonal diversity of plasma cell V genes. Heavy and light chain sequences are compared with the most homologous germline gene. Only nucleotide differences are shown, CDR are indicated, and codons are numbered according to Kabat (41). Sequences were isolated from plasma cells of two patients with RA (infiltrate I from patient RA-PS and infiltrate V from patient RA-EK) and one patient with ReA (infiltrate II from patient ReA-TS). Genealogical relationship indicating the clonal V gene diversification is shown. For further details, see Fig. 2. E, The results of a single-cell analysis is shown.

  • FIGURE 6.
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    FIGURE 6.

    A comparison of the VH gene repertoire expressed in CD20+ B (A) and plasma cells (B). Results from four different patients with RA and ReA are summarized. A total of 62 different rearrangements from CD20+ B cells and a total of 41 from plasma cells were isolated.

Tables

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    Table I.

    V gene sequences isolated from the ST of patients RA and ReA

    PatientInfiltrateaSectionCD20+ B CellsPlasma Cells
    Heavy chainLight chainHeavy chainLight chain
    κλκλ
    Group of cellsRA PSI5627/336/95/89/255/92/2
    VII561/114/351/5
    5910/23
    612/22/4
    VI564/20
    594/155/14
    RA EKIV1581/14
    1609/155/71/61/5
    V16411/207/146/19
    ARIII874/105/16
    ReA TSII615/2311/156/1010/178/115/7
    72/37/172/127/11
    Single cellsbRA EKVIII65351
    • a For infiltrates I to VII, the number of different rearrangements/total sequenced V genes is given.

    • b For the single-cell analysis, the number of isolated V genes with a different rearrangement is given.

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    Table II.

    V gene repertoire in CD20+ B cells isolated from the network of FDC (patient PS infiltrate VI on section 59)

    Gene FamilyRearrangementNo. of Isolated Sequences: PCRNo. of Somatic MutationsLength of CDR3
    1st2nd
    Heavy chainVH11-2/JH4b11–a
    VH33-11/JH4b434b16
    3-43/JH4b5612
    VH44-30-2/JH4b1212
    Light λ-chainVλ1DPL5/JL11113
    Vλ2LV2046/JL2.32110
    Vλ3DPL23/JL1531b9
    DPL23/JL2.31711
    IgLV3S6/JL2.3298
    • a Out of frame rearrangement.

    • b Number of common mutations.

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The Journal of Immunology: 162 (5)
The Journal of Immunology
Vol. 162, Issue 5
1 Mar 1999
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Plasma Cell Development in Synovial Germinal Centers in Patients with Rheumatoid and Reactive Arthritis
Hye-Jung Kim, Veit Krenn, Gudrun Steinhauser, Claudia Berek
The Journal of Immunology March 1, 1999, 162 (5) 3053-3062;

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Plasma Cell Development in Synovial Germinal Centers in Patients with Rheumatoid and Reactive Arthritis
Hye-Jung Kim, Veit Krenn, Gudrun Steinhauser, Claudia Berek
The Journal of Immunology March 1, 1999, 162 (5) 3053-3062;
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