The role of homeostatic proliferation and SNP mutations in MHC genes in the development of rheumatoid arthritis
- Authors: Shevyrev D.V.1, Kozlov V.A.1
-
Affiliations:
- Research Institute for Fundamental and Clinical Immunology
- Issue: Vol 75, No 6 (2020)
- Pages: 638-646
- Section: RHEUMATOLOGY: CURRENT ISSUES
- URL: https://journal-vniispk.ru/vramn/article/view/125696
- DOI: https://doi.org/10.15690/vramn1298
- ID: 125696
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Abstract
Great efforts have been made to study the etiology and pathogenesis of rheumatoid arthritis in the last few decades, but this issue remains widely unknown. In this review, we suggest a hypothesis according to which the development of rheumatoid arthritis is associated with a genetically determined enhancement of self-antigens presentation and decrease in TCR repertoire diversity due to homeostatic proliferation (HP). We suppose that qualitative changes in the TCR landscape of effector and regulatory T-cells populations lead to immune disequilibrium. I.e. HP results in the condition when self-reactive T-cell clones appear to which no specific T-regulatory cells exist. If such self-reactive clones have TCR specific to modified auto-antigens, which presentation increased due to SNP mutations in MHC genes, then the adaptive immunity is activated, and rheumatoid arthritis develops. Obviously, therapy based on the deletion of self-reactive T-cells clones involved in the RA process or on the replenishment of Treg clones by CAR-T-cells is the perspective approach of personalized medicine.
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##article.viewOnOriginalSite##About the authors
D. V. Shevyrev
Research Institute for Fundamental and Clinical Immunology
Author for correspondence.
Email: dr.daniil25@mail.ru
ORCID iD: 0000-0002-7084-081X
SPIN-code: 2327-7486
MD, PhD, Junior Research Associate
Russian Federation, NovosibirskV. A. Kozlov
Research Institute for Fundamental and Clinical Immunology
Email: vakoz40@yandex.ru
ORCID iD: 0000-0002-1756-1782
SPIN-code: 3573-7490
МD, PhD, Academician of the RAS
Russian Federation, NovosibirskReferences
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