T cell response to Epstein-Barr virus transactivators in chronic rheumatoid arthritis

J Exp Med. 1996 Nov 1;184(5):1791-800. doi: 10.1084/jem.184.5.1791.

Abstract

Rheumatoid arthritis is a multistep disorder associated with autoimmune features of yet unknown etiology. Implication of viruses such as Epstein-Barr virus (EBV) in rheumatoid arthritis pathogenesis has been suspected on the basis of several indirect observations, but thus far, a direct link between EBV and rheumatoid arthritis has not been provided. Here we show that a large fraction of T cells infiltrating affected joints from a patient with chronic rheumatoid arthritis recognizes two EBV transactivators (BZLF1 and BMLF1) in a major histocompatibility complex-restricted fashion. Responses to these EBV antigens by synovial lymphocytes from several other chronic rheumatoid arthritis patients were readily detectable. Thus these results suggest a direct contribution of EBV to chronic rheumatoid arthritis pathogenesis. They also demonstrate for the first time the occurrence of T cell responses against EBV transactivating factors, which might be central in the control of virus reactivation.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Arthritis, Rheumatoid / etiology
  • Arthritis, Rheumatoid / immunology*
  • COS Cells
  • Chronic Disease
  • Clone Cells
  • Cytotoxicity, Immunologic
  • DNA-Binding Proteins / genetics
  • DNA-Binding Proteins / immunology
  • Epitope Mapping
  • Herpesvirus 4, Human / growth & development
  • Herpesvirus 4, Human / immunology*
  • Humans
  • Lymphocyte Activation
  • Male
  • Recombinant Proteins / immunology
  • Synovial Membrane / cytology
  • Synovial Membrane / immunology
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology*
  • Trans-Activators / genetics
  • Trans-Activators / immunology*
  • Tumor Necrosis Factor-alpha / pharmacology
  • Viral Proteins / immunology*
  • Virus Replication

Substances

  • BZLF1 protein, Herpesvirus 4, Human
  • DNA-Binding Proteins
  • Recombinant Proteins
  • Trans-Activators
  • Tumor Necrosis Factor-alpha
  • Viral Proteins