Brain Advance Access published online on February 25, 2004
Brain, doi:10.1093/brain/awh119
© 2004 by Guarantors of Brain
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Article
1 Institut National de la Santé et de la Recherche Médicale (INSERM) Unité 437: ‘Immunointervention dans les Allo- et Xénotransplantations’, Institut de Transplantation et de Recherche en Transplantation (ITERT), CHU Hôtel Dieu, 30 Bd Jean Monnet,C, 44093 Nantes Cedex 01, France; Clinique Neurologique and Centre d’Investigation Clinique, Hôpital G. et R. Laennec, Bd J. Monod, 44093 Nantes Cedex 01, France
* Corresponding author. E-mail: jps{at}nantes.inserm.fr.
Received 1 October 2003
; revised 10 December 2003
; accepted 14 December 2003
Multiple sclerosis is an inflammatory demyelinating disease of the CNS associated with T cells autoreactive for myelin components. In this study, we analysed the T-cell receptor (TCR) usage of the variable
Keywords: CD4/CD8; CDR3; cytokines; multiple sclerosis; T cells; VBlood T-cell receptor
chain transcriptome in multiple sclerosis. Characterization of the T cells with altered CDR3 length distribution
2 Institut National de la Santé et de la Recherche Médicale (INSERM) Unité 437: ‘Immunointervention dans les Allo- et Xénotransplantations’, Institut de Transplantation et de Recherche en Transplantation (ITERT), CHU Hôtel Dieu, 30 Bd Jean Monnet,C, 44093 Nantes Cedex 01, France
3 Clinique Neurologique and Centre d’Investigation Clinique, Hôpital G. et R. Laennec, Bd J. Monod, 44093 Nantes Cedex 01, France
4 TcLand S.A., 30 Bd Jean Monnet, 44093 Nantes Cedex 01, France
5 Service de Neurologie, Hôpital Pontchaillou, 35000, Rennes, France
6 Institut National de la Santé et de la Recherche Médicale (INSERM) Unité 437: ‘Immunointervention dans les Allo- et Xénotransplantations’, Institut de Transplantation et de Recherche en Transplantation (ITERT), CHU Hôtel Dieu, 30 Bd Jean Monnet,C, 44093 Nantes Cedex 01, France; INSERM U437, 30 Bd Jean-Monnet, 44093 Nantes Cedex 01, France
(V
) chain transcriptome in the blood of multiple sclerosis patients at various stages of the disease using a global and quantitative comparison of the complementarity-determining region 3 length distribution (CDR3-LD) of transcripts of the 26 V
genes. We investigated 35 patients: 12 with a high risk of multiple sclerosis, 10 with clinically definite multiple sclerosis, 13 with a relapsing-remitting worsening and active multiple sclerosis and 13 healthy individuals. Cells bearing the TCR transcripts with altered CDR3-LD were sorted and studied for CD4 or CD8 phenotype, cytokine transcript accumulation and response to human myelin basic protein (MBP). We show that patients from all the groups have a significantly skewed blood T-cell repertoire. V
transcriptome patterns were more altered in patients from the clinically definite multiple sclerosis group and the worsening and active multiple sclerosis group than in the high risk group. The T cells sorted from V
families with altered CDR3-LD concerned both CD4 and CD8 T cells, with a more pronounced skewing in the CD8 compartment. These cells displayed a significantly increased level of interferon-
, interleukin-2 and tumour necrosis factor-
transcripts compared with their counterparts from the healthy individual group. Furthermore, using interferon-
enzyme-linked immunospot (ELISPOT) assays, T cells from four out of seven altered V
families tested from multiple sclerosis patients responded to human MBP, whereas no response was observed with human albumin or with altered V
families from healthy individuals. Our data support the concept of an early autoimmune component in the disease and emphasize the possible involvement of CD8-positive T cells in multiple sclerosis.
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