Evidence map›Paper›PMID 39073021›Full record

ArticleACR open rheumatology2024

HLA-DR-Expressing Fibroblast-Like Synoviocytes Are Inducible Antigen Presenting Cells That Present Autoantigens in Lyme Arthritis.

Joseph R Rouse, Rebecca Danner, Amanda Wahhab, Michaela Pereckas, Christine Nguyen, Mecaila E McClune, Allen C Steere, Klemen Strle, Brandon L Jutras, Robert B Lochhead

Abstract read
In one paragraph

Article in ACR open rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Characterization ofMicroorganisms · 2026
    Article
  5. Article
  6. Article
  7. Long-term survival ofMicrobiology spectrum · 2025
    Article
  8. Review
  9. Article
  10. The peptidoglycan ofScience translational medicine · 2025
    Article
  11. Review
  12. Review
  13. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Joseph R RouseMedical College of Wisconsin, Milwaukee.ORCID https://orcid.org/0000-0001-8675-904X
Rebecca DannerMedical College of Wisconsin, Milwaukee.
Amanda WahhabMedical College of Wisconsin, Milwaukee.
Michaela PereckasMedical College of Wisconsin, Milwaukee.
Christine NguyenMedical College of Wisconsin, Milwaukee.
Mecaila E McCluneVirginia Polytechnic Institute and State University, Blacksburg.ORCID https://orcid.org/0000-0002-9071-540X
Allen C SteereMassachusetts General Hospital and Harvard Medical School, Boston.ORCID https://orcid.org/0000-0002-5268-9853
Klemen StrleTufts University, Boston, Massachusetts.
Brandon L JutrasVirginia Polytechnic Institute and State University, Blacksburg.
Robert B LochheadMedical College of Wisconsin, Milwaukee.ORCID https://orcid.org/0000-0001-7726-0466

Funding

The natural release of unusual peptidoglycan fragments drives persistent Lyme disease symptoms in susceptible hostsR01AI178711 · NIAID · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI Booki Min · 2023 to 2026
$2.1M
Defining the host and pathogen determinants of peptidoglycan induced pathophysiology in Lyme diseaseR01AI173256 · NIAID · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI Brandon Lyon Jutras · 2023 to 2026
$2.0M
Congressionally Directed Medical Research Programs W81XWH-22-1-0728National Institute of Allergy and Infectious Diseases 1R01AI173256-01National Institute of Allergy and Infectious Diseases 1R01AI178711-01National Institute of Allergy and Infectious Diseases 1R21AI14982-01NIAID NIH HHS R01 AI173256NIAID NIH HHS R01 AI178711
6 · The paper itself

Abstract

objectiveHLA-DR-expressing fibroblast-like synoviocytes (FLS) are a prominent cell type in synovial tissue in chronic inflammatory forms of arthritis. FLS-derived extracellular matrix (ECM) proteins, including fibronectin-1 (FN1), contain immunogenic CD4+ T cell epitopes in patients with postinfectious Lyme arthritis (LA). However, the role of FLS in presentation of these T cell epitopes remains uncertain.

methodsPrimary LA FLS and primary murine FLS stimulated with interferon gamma (IFNγ), Borrelia burgdorferi, and/or B burgdorferi peptidoglycan (PG) were assessed for properties associated with antigen presentation. HLA-DR-presented peptides from stimulated LA FLS were identified by immunopeptidomics analysis. OT-II T cells were co-cultured with stimulated murine FLS in the presence of cognate ovalbumin antigen to determine the potential of FLS to act as inducible antigen presenting cells (APCs).

resultsFLS expressed HLA-DR molecules within inflamed synovial tissue and tendons from patients with postinfectious LA in situ. Major histocompatibility complex (MHC) class II and co-stimulatory molecules were expressed by FLS following in vitro stimulation with IFNγ and B burgdorferi and presented both foreign and self-MHC-II peptides, including an immunogenic T cell epitope derived from Lyme autoantigen FN1. Stimulated FLS induced proliferation of naive OT-II CD4+ T cells that were dependent on OT-II antigen and CD40. Stimulation with B burgdorferi PG enhanced FLS-mediated T cell activation.

conclusionMHC-II+ FLS are inducible APCs that can induce CD4+ T cell activation in an antigen- and CD40-dependent manner. Activated FLS can also present ECM-derived Lyme autoantigens, implicating FLS in amplifying tissue-localized autoimmunity in LA.

Identifiers

PMID39073021
PMCPMC11471949

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.