2009
DOI: 10.1083/jcb1855oia11
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Deficiency of the DNA repair enzyme ATM in rheumatoid arthritis

Abstract: In rheumatoid arthritis (RA), dysfunctional T cells sustain chronic inflammatory immune responses in the synovium. Even unprimed T cells are under excessive replication pressure, suggesting an intrinsic defect in T cell regeneration. In naive CD4 CD45RA + T cells from RA patients, DNA damage load and apoptosis rates were markedly higher than in controls; repair of radiation-induced DNA breaks was blunted and delayed. DNA damage was highest in newly diagnosed untreated patients. RA T cells failed to produce suf… Show more

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Cited by 15 publications
(27 citation statements)
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References 32 publications
(32 reference statements)
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“…6,10 Several studies have shown that such inflammation is associated with systemic genotoxicity, which may be a mechanistic factor linking such inflammation with known associations of chronic inflammation to a variety of systemic diseases. 13,[32][33][34][35] In our study, we characterized the systemic effects of intestinal inflammation by determining genotoxic sensitivity of multiple cell types in different anatomical locations to gain insights into the consequences of chronic mucosal inflammation on extraintestinal tissues.…”
Section: Discussionmentioning
confidence: 99%
“…6,10 Several studies have shown that such inflammation is associated with systemic genotoxicity, which may be a mechanistic factor linking such inflammation with known associations of chronic inflammation to a variety of systemic diseases. 13,[32][33][34][35] In our study, we characterized the systemic effects of intestinal inflammation by determining genotoxic sensitivity of multiple cell types in different anatomical locations to gain insights into the consequences of chronic mucosal inflammation on extraintestinal tissues.…”
Section: Discussionmentioning
confidence: 99%
“…As a consequence, DNA damage responses to genotoxic stress are impaired in these cells with reduced serine phosphorylation of ataxia telangiectasia mutated (ATM) and p53. Also, naïve CD4 T cells from patients with rheumatoid arthritis have reduced expression of the ATM-MRE complex, which causes increased frequencies of DNA double-strand breaks and impaired p53 activation in T cells from these patients (23). Functional consequences are increased apoptosis susceptibility and a decreased replicative capacity, which dampens T cell responses.…”
Section: Difference In the Immune Response In The Elderlymentioning
confidence: 98%
“…Chronic DNA damage responses are apparent in all hematopoietic lineages in older people including T cells. In part, they are explained by telomeric dysfunction; an increase in frequency of double-strand breaks is also found in peripheral T cells during aging 100 . Of note, DNA damage in memory T cells far exceeds that found in naïve T cells, at any age.…”
Section: Intrinsic T Cell Defects -A Consequence Of Resource Allocationmentioning
confidence: 99%
“…Such a defect certainly is one of the major driving forces in the accelerated immune aging seen in patients with rheumatoid arthritis. In addition, to expressing reduced telomerase activity similar to healthy immune aging 104 , expression and function of molecules in the ATM-dependent DNA repair pathway are reduced, leading to increased nontelomeric DNA damage, a failure in p53 activation and the activation of alternative DNA repair pathways 100,105 . It will be interesting to examine whether similar mechanisms can also be identified with normal aging.…”
Section: Intrinsic T Cell Defects -A Consequence Of Resource Allocationmentioning
confidence: 99%