A revival of the B cell paradigm for rheumatoid arthritis pathogenesis?

Arthritis Res. 2000;2(2):90-4. doi: 10.1186/ar73. Epub 2000 Feb 24.

Abstract

Dominant paradigms for the understanding of rheumatoid arthritis (RA) pathogenesis have changed over the years. A predominant role of B lymphocytes, and perhaps of the rheumatoid factor they produced, was initially invoked. In more recent years, recognition of antigens in the joint by T cells sparking an inflammatory cascade has been a more favored interpretation. Here, we re-examine some of the arguments that underpin this proposed role of joint T cells, in light of recent results from transgenic mice in which a self-reactive T-cell receptor provokes disease, but from outside the joint and indirectly via B lymphocytes and immunoglobulins.

Publication types

  • Review

MeSH terms

  • Animals
  • Arthritis, Rheumatoid / immunology*
  • Arthritis, Rheumatoid / physiopathology*
  • B-Lymphocytes / cytology
  • B-Lymphocytes / immunology*
  • Disease Models, Animal*
  • Humans
  • Immunoglobulins / immunology
  • Major Histocompatibility Complex / immunology
  • Mice
  • Mice, Transgenic
  • Receptors, Antigen, T-Cell / immunology
  • T-Lymphocytes / cytology
  • T-Lymphocytes / immunology*

Substances

  • Immunoglobulins
  • Receptors, Antigen, T-Cell