Distinct phenotype of CD4<sup>+</sup> T cells driving celiac disease identified in multiple autoimmune conditions.

Christophersen, Asbjørn; Lund, Eivind G; Snir, Omri; Solà, Elsa; Kanduri, Chakravarthi; Dahal-Koirala, Shiva; Zühlke, Stephanie; Molberg, Øyvind et al. · Nat Med · 2019

basic_science · Level V

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Abstract

Combining HLA-DQ-gluten tetramers with mass cytometry and RNA sequencing analysis, we find that gluten-specific CD4<sup>+</sup> T cells in the blood and intestines of patients with celiac disease display a surprisingly rare phenotype. Cells with this phenotype are also elevated in patients with systemic sclerosis and systemic lupus erythematosus, suggesting a way to characterize CD4<sup>+</sup> T cells specific for disease-driving antigens in multiple autoimmune conditions.

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