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Research ArticleArticle

Decreased Circulating CD28-negative T Cells in Patients with Rheumatoid Arthritis Treated with Abatacept Are Correlated with Clinical Response

MIRKO SCARSI, TAMARA ZIGLIOLI and PAOLO AIRÒ
The Journal of Rheumatology May 2010, 37 (5) 911-916; DOI: https://doi.org/10.3899/jrheum.091176
MIRKO SCARSI
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TAMARA ZIGLIOLI
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PAOLO AIRÒ
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  • For correspondence: airo@bresciareumatologia.it
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  • Figure 1.
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    Figure 1.

    Evolution of percentage and absolute number of CD8+CD28– T cells during therapy with abatacept.

  • Figure 2.
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    Figure 2.

    Correlations of variations of T cell subpopulation percentages with variation of the Disease Activity Score (DAS28) during therapy with abatacept.

Tables

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    Table 1.

    Patient characteristics at baseline. Medians, except for HAQ score, are interquartile range (25th–75th percentile).

    CharacteristicPatients (n = 20)
    Age, median, yrs55 (47–63)
    Men4
    Women16
    Disease duration at inclusion, median12.5 (9–20.75)
    No. previous DMARD treatments, median4 (2.75–5)
    No. previous anti-TNF agents, median2 (1.75–3)
    Prior rituximab treatments6
    Concomitant DMARD treatments
      Methotrexate18
      Other DMARD0
      None2
    Rheumatoid factor positivity (%)14 (70)
    DAS28 (CRP) median5.53 (5.05–6.35)
    HAQ score median1.25 (0.875–1.375)
    • DMARD: disease-modifying antirheumatic drugs; DAS28 (CRP): Disease Activity Score in 28 joints (C-reactive protein); HAQ: Health Assessment Questionnaire; TNF: tumor necrosis factor.

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    Table 2.

    Variations of percentages and absolute numbers of T cell subsets in patients with rheumatoid arthritis after treatment with abatacept. Numbers in 2nd line of each box are absolute numbers (cell/μl).

    Lymphocyte SubtypeBaseline48 Weeks
    CD3+CD4+ % of total lymphocyte59.2 (46.9–70.3)63.3 (51.1–70.4)0.472
    No. cells749 (322–1773)851 (328–1438)0.937
    CD3+CD4+ naïve % of total CD3+CD4+37.2 (22.1–38.9)33.1 (21.8–36.8)0.556
    No. cells216 (135–445)325 (148–446)0.790
    CD3+CD4+ CM % of total CD3+CD4+41.1 (34.5–44.6)54.1 (42.1–57.2)0.061
    No. cells292 (200–411)466 (316–702)0.473
    CD3+CD4+ EM % of total CD3+CD4+20.3 (14.7–25.1)14.7 (10.5–17.6)0.519
    No. cells149 (113–227)124 (87–153)0.399
    CD3+CD4+ TDEM % of total CD3+CD4+1.25 (0.6–2.5)0.8 (0.5–1.6)0.270
    No. cells12 (5–22)6 (4–12)0.449
    CD3+CD4+ EFF TOT % of total CD3+CD4+21.5 (15.4–31.2)16 (10.8–18.8)0.352
    No. cells163 (129–261)135 (93–159)0.296
    CD3+CD4+CD28+ % of total CD3+CD4+95.2 (84.9–95.9)96.9 (90.3–98.6)0.349
    No. cells680 (446–879)825 (510–1162)0.954
    CD3+CD4+CD28– % of total CD3+CD4+4.8 (4.1–15.1)3.0 (1.4–9.7)0.349
    No. cells49 (32–75)20 (15–27)0.257
    CD3+CD8+ % of total lymphocyte20.4 (13.0–28.6)21.4 (13.0–27.9)0.941
    No. cells188 (128–581)288 (79–502)0.927
    CD3+CD8+ naïve % of total CD3+CD8+18.6 (12.6–31.8)27.2 (20.6–35.0)0.342
    No. cells48 (23–91)88 (29–160)0.304
    CD3+CD8+ CM % of total CD3+CD8+11.5 (7.1–13.7)22.3 (15.6–32.5)0.002
    No. cells29 (15–43)44 (17–117)0.128
    CD3+CD8+ EM % of total CD3+CD8+29.9 (23.2–42.2)26.8 (20.9–33.7)0.377
    No. cells81 (57–121)64 (37–86)0.276
    CD3+CD8+ TDEM % of total CD3+CD8+32.0 (20.4–41.3)21.8 (9.7–25.7)0.033
    No. cells72 (52–112)26 (17–48)0.132
    CD3+CD8+ EFF TOT % of total CD3+CD8+68.7 (54.5–78.6)49.3 (31.4–58.8)0.040
    No. cells170 (108–234)85 (61–132)0.138
    CD3+CD8+CD28+ % of total CD3+CD8+61.3 (37.7–75.1)77.6 (74.0–87.6)0.009
    No. cells124 (85–267)249 (99–400)0.528
    CD3+CD8+CD28–38.7 (24.9–62.3)22.3 (12.1–25.9)0.008
    No. cells109 (85–145)32 (30–41)0.055
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1 May 2010
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Decreased Circulating CD28-negative T Cells in Patients with Rheumatoid Arthritis Treated with Abatacept Are Correlated with Clinical Response
MIRKO SCARSI, TAMARA ZIGLIOLI, PAOLO AIRÒ
The Journal of Rheumatology May 2010, 37 (5) 911-916; DOI: 10.3899/jrheum.091176

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Decreased Circulating CD28-negative T Cells in Patients with Rheumatoid Arthritis Treated with Abatacept Are Correlated with Clinical Response
MIRKO SCARSI, TAMARA ZIGLIOLI, PAOLO AIRÒ
The Journal of Rheumatology May 2010, 37 (5) 911-916; DOI: 10.3899/jrheum.091176
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