Expression of full-length and splice forms of FoxP3 in rheumatoid arthritis

L R Ryder, A Woetmann, H O Madsen, N Ødum, L P Ryder, H Bliddal, B Danneskiold-Samsøe, S. Ribel-Madsen, E M Bartels, Lisa Rebekka Ryder, Alex Le Woetmann Danielsen, H O Madsen, Niels Ødum, Lars P. Ryder, H Bliddal, B Danneskiold-Samsøe, S Ribel-Madsen, E M Bartels

    16 Citations (Scopus)

    Abstract

    Objective: The aim of our study was to compare the presence of full-length and alternative splice forms of FoxP3 mRNA in CD4 cells from rheumatoid arthritis (RA) patients and healthy controls. Methods: A quantitative real-time polymerase chain reaction (QRT-PCR) method was used to measure the amount of FoxP3 mRNA full-length and splice forms. CD4-positive T cells were isolated from peripheral blood from 50 RA patients by immunomagnetic separation, and the FoxP3 mRNA expression was compared with the results from 10 healthy controls. Results: We observed an increased expression of full-length FoxP3 mRNA in RA patients when compared to healthy controls, as well as an increase in CD25 mRNA expression, but no corresponding increase in CTLA-4 mRNA expression. The presence of an alternative splice form of FoxP3 lacking exon 2 was confirmed in both RA patients and healthy controls, but with no significant difference in expression between the two groups. There was a positive correlation between the amount of FoxP3 mRNA and the clinical inflammation parameters C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), and a negative correlation between FoxP3 mRNA and the dose of methotrexate (MTX) given to the patients. Conclusion: RA patients express more full-length FoxP3 than healthy controls in peripheral blood CD4-positive cells, suggesting an increased number of regulatory T cells (Tregs). However, no concomitant increase in CTLA-4 expression was seen. We therefore propose that the Tregs are left unable to suppress the ongoing inflammation due to a deficiency in CTLA-4 needed for cell contact-dependent suppression.

    Original languageEnglish
    JournalScandinavian Journal of Rheumatology
    Volume39
    Issue number4
    Pages (from-to)279-86
    Number of pages8
    ISSN0300-9742
    DOIs
    Publication statusPublished - 1 Aug 2010

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