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<art>
   <ui>ar23</ui>
   <ji>ARJ</ji>
   <fm>
      <dochead>Meeting abstract</dochead>
      <bibl>
         <title>
            <p>Evidence for an antigen-driven immune response in the chronically inflamed synovium</p>
         </title>
         <aug>
            <au id="A1">
               <snm>Bearek</snm>
               <fnm>Claudia</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A2">
               <snm>Kim</snm>
               <fnm>H-J</fnm>
               <insr iid="I1"/>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Deutsches Rheuma ForschungsZentrum, Berlin, Germany</p>
            </ins>
         </insg>
         <source>Arthritis Res</source>
         <supplement>
            <title>
               <p>Fourth International Synovitis Workshop</p>
            </title>
            <note>Meeting abstracts</note>
         </supplement>
         <conference>
            <title>
               <p>Fourth International Synovitis Workshop</p>
            </title>
            <location>Dallas, USA</location>
            <date-range>21&#8211;25 April 1999</date-range>
         </conference>
         <issn>1465-9905</issn>
         <pubdate>2000</pubdate>
         <volume>1</volume>
         <issue>Suppl 1</issue>
         <fpage>S09</fpage>
         <url>http://arthritis-research.com/15nov99/ar01s1</url>
         <xrefbib>
            <pubid idtype="doi">10.1186/ar23</pubid>
         </xrefbib>
      </bibl>
      <history>
         <pub>
            <date>
               <day>15</day>
               <month>11</month>
               <year>1999</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2000</year>
         <collab>Current Science Ltd</collab>
      </cpyrt>
   </fm>
   <meta>
      <classifications>
         <classification type="BMC" subtype="old_arx_id">ar-1-s1-09</classification>
      </classifications>
   </meta>
   <bdy>
      <sec>
         <st>
            <p>Full text</p>
         </st>
         <p>Recently it has been shown that proinflammatory cytokines, like TNF-alpha and lymphotoxin play a crucial role in the organogenesis of the lymphoid tissue. Thus, during chronic inflammation, in the affected tissue, these cytokines may promote the development of a micro-environment which supports a local immune response. In patients with rheumatoid arthritis large lymphocytic infiltrates are often seen in the synovial tissue. These cell clusters have a characteristic arrangement of T, B and plasma cells. Proliferating B cells are found only centrally in a network of follicular dendritic cells. Using micro-manipulation CD20<sup>+</sup> B cells and plasma cells were isolated separately from different parts of single infiltrates. DNA was extracted and the V<sub>H</sub>/V<sub>L</sub> gene repertoires determined. The data show that within the network of follicular dendritic cells there is an oligoclonal expansion of B cells. During proliferation V-gene variants are generated by the hypermutation mechanism. The pattern of somatic mutations suggests that both naive and memory B cells become activated in the synovial tissue. Within single infiltrates we did not find identical rearrangements between CD20<sup>+</sup> B and plasma cells. Nevertheless, the finding of clonally related plasma cells suggests that these cells underwent terminal differentiation in the synovial tissue. The analysis of individual B cells recovered from synovial tissue opens a new way to determine the specificity of those cells which take part in the local immune reaction.</p>
      </sec>
   </bdy>
   <bm>
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</art>
