“…Consistent with this model, we have previously shown that progressive joint inflammation in the TNF transgenic (TNF-tg) mouse model of inflammatory-erosive arthritis is accompanied by an increase in draining lymph node’s size, cellularity and drainage capacity, and that disease flares (as detected by increased synovial volume) and bone erosion at the knees are preceded by a rapid decrease in drainage capacity and substantial structural remodeling of the affected nodes [2–5]. These changes are specifically associated with unique alterations in the resident B cell population within the reactive nodes, resulting in the local differentiation of a follicular B cell-derived subset with a unique CD23+, CD21/35-high, CD1d-high, IgM-high, IgD-high phenotype and increased ability to capture and process antigen immune complexes ( B cell in i nflamed n odes, or Bin cells) [4–6]. Most significantly from a pathogenic standpoint, Bin cells localize to, and substantially occupy paracortical sinusoids in collapsed TNF-tg lymph nodes, likely contributing to the decreased lymphatic drainage function of the nodes [2–5, 7, 8].…”