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Homocitrullinated Peptides Drive Pro-Inflammatory T Cell Responses in a Humanized Mouse Model of Rheumatoid

Sofya Ulanova1, Jaspreet Kaur1, Gabrielle Buckley1

  • 1Department of Microbiology & Immunology, Western University, London, Ontario, Canada.

Arthritis & Rheumatology (Hoboken, N.J.)
|June 8, 2026
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Anti-homocitrullinated peptide (HomoCitP) responses in rheumatoid arthritis (RA) were studied. HomoCitP induced T-cell activation and exhaustion, suggesting a role in RA pathogenesis and potential therapeutic targets.

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Area of Science:

  • Immunology
  • Rheumatology
  • Autoimmunity

Background:

  • Anti-homocitrullinated protein/peptide antibodies are specific to rheumatoid arthritis (RA).
  • T-cell responses to homocitrullinated peptides (HomoCitP) are largely unexplored.
  • The strongest genetic risk factor for RA is the human leukocyte antigen (HLA)-DR4 gene.

Purpose of the Study:

  • To investigate T-cell responses to HomoCitP in a humanized HLA-DR4-transgenic (DR4tg) mouse model of RA.
  • To explore the pathogenic role of autoreactivity to HomoCitP in RA.

Main Methods:

  • DR4tg mice were immunized with a HomoCitP (HomoCitJED) or control.
  • T-cells from draining lymph nodes and spleens were analyzed for phenotype, cytokine production, and proliferation.
  • Flow cytometry, ELISAs, and ProQuantum™ immunoassays were utilized.

Main Results:

  • HomoCitJED immunization induced robust expansion of Th1, Th17, and Th1/Th17 cells.
  • Effector activity was confirmed by increased IL-17A, TNF-α, and IFN-γ production.
  • Both CD4+ and CD8+ T cells showed increased activation and exhaustion markers, alongside augmented proliferation.

Conclusions:

  • HomoCitP elicits dysregulated Th1/Th17 and Tc1/Tc17 responses.
  • Imbalance in homocitrulline-driven CD4+ and CD8+ T-cells may contribute to RA pathogenesis.
  • These T-cell responses represent potential targets for immunomodulatory therapies in RA.