CLONAL EXPANSION AND DECREASED OCCURRENCE OF PERIPHERAL-BLOOD GAMMA-DELTA T-CELLS OF THE V-DELTA-2J-DELTA-3 LINEAGE IN MULTIPLE-SCLEROSIS PATIENTS

gamma delta T cells are implicated in autoimmune diseases but their pr ecise function remains unclear, In multiple sclerosis (MS) brain tissu e, gamma delta T cells co-localize with heat shock protein (hsp)65(+) oligodendrocytes and are oligoclonally restricted in the V delta 2J de lta 3 lineage, To investigate the homing properties and the degree of heterogeneity of V delta 2J delta 3(+) gamma delta T cells in MS, peri pheral blood lymphocytes (PBL) from 34 MS patients, 42 controls (14 au toimmune control patients, 28 healthy volunteers), and 11 lymphatic ti ssues of MS patients and controls were studied by RT-PCR and sequencin g. V delta 2J delta 3 TCR rearrangement was detected in 27 out of 28 h ealthy controls, and was significantly less frequent in MS patients (2 4 out of 34) and autoimmune control patients (seven out of 14). It was present only in five out of fl tissue specimens, none of them from MS patients. Direct sequencing and cloning/automated sequencing of the V delta 2J delta 3 PCR products indicated heterogeneity in healthy cont rols and oligoclonality in MS patients, but also in autoimmune control patients, Differences between MS patients and healthy controls were m ore accentuated in exacerbating hospitalized patients than in clinical ly stable outpatients participating in a clinical trial, Only one V de lta 2J delta 3 sequence of a total of 85 different sequences obtained was shared between two MS patients. Taken together, evidence for clona l expansion of V delta 2J delta 3(+) gamma delta T cells was found in PBL of MS patients, This T cell subset, previously shown to be present in 100% of chronic-active MS plaques, might home to the CMS in MS, re sulting in its under-representation in the brood.