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<art>
   <ui>ar24</ui>
   <ji>ARJ</ji>
   <fm>
      <dochead>Meeting abstract</dochead>
      <bibl>
         <title>
            <p>Expression of RAG1, RAG2, and TdT in Rheumatoid Arthritis Synovia: Evidence for Receptor Revision of Immunoglobulin Light Chains</p>
         </title>
         <aug>
            <au id="A1">
               <snm>Bridges Jr</snm>
               <fnm>S Louis</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A2">
               <snm>Zhang</snm>
               <fnm>Zhixin</fnm>
               <insr iid="I1"/>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>University of Alabama at Birmingham and Birmingham VA Medical Center, USA</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>S10</fpage>
         <url>http://arthritis-research.com/15nov99/ar01s1</url>
         <xrefbib>
            <pubid idtype="doi">10.1186/ar24</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-s1-10</classification>
      </classifications>
   </meta>
   <bdy>
      <sec>
         <st>
            <p>Full text</p>
         </st>
         <p>Some rheumatoid arthritis (RA) synovia contain structures similar to germinal centers (GC), the site of affinity maturation of B lymphocytes [<abbr bid="B1">1</abbr>,<abbr bid="B2">2</abbr>]. Previous analyses of immunoglobulin (Ig) kappa and lambda light chains expressed in RA synovia showed clonally related sequences with frequent N region addition and unusually long CDR3s [<abbr bid="B3">3</abbr>,<abbr bid="B4">4</abbr>]. The presence of clonally related Ig heavy chain sequences in GC-like structures from RA synovia suggests <it>in situ</it> antigen-dependent B cell maturation. RAG1 and 2, enzymes that mediate V(D)J recombination during B cell development, are expressed in a subset of GC B cells in normal peripheral lymphoid organs [<abbr bid="B5">5</abbr>,<abbr bid="B6">6</abbr>]. RAG expression allows secondary Ig rearrangements, which salvages B cells with undesirable specificities or low antigen affinity (receptor revision). We sought to determine whether RAG and TdT (the enzyme responsible for N region addition) are expressed in RA synovia and whether secondary Ig rearrangements occur. Using nested RT-PCR, we detected RAG1, RAG2, and TdT mRNA in 8, 9, and 6 of 12 synovial samples (11 RA, 1 JRA), respectively. RAG1 was expressed in B cells (5/8 samples) and T cells (4/8). RAG2 was expressed in B cells (4/8) more often than in T cells (1/8). TdT was expressed in B cells only (2/8). Immunohistochemical staining indicated that RAG proteins were distributed in lymphoid aggregates. In some synovia, secondary rearrangement products (ds-DNA breaks at recombination signal sequences in the Jkappa region) were detected by ligation-mediated PCR. We speculate that receptor revision in nonlymphoid tissues such as RA synovia may generate autoreactive antibodies, which has important implications for chronic inflammatory diseases.</p>
      </sec>
   </bdy>
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</art>
