Conserved T-cell receptor β chain CDR3 sequences in IgA nephropathy biopsies

Conserved T-cell receptor β chain CDR3 sequences in IgA nephropathy biopsies.BackgroundWe have previously reported that both αβ and γδ T cells are involved in the progression of IgA nephropathy (IgAN) to renal failure. To determine whether the T-cells seen in the interstitium represent a generalized inflammatory response or whether they are proliferating oligoclonally in response to a particular antigen, we analyzed the TCR Vβ gene usage by T cells infiltrating renal biopsies from patients with IgAN.MethodsFourteen IgAN patients were divided by clinical criteria into stable and progressive groups (7 in each group). Reverse transcription-polymerase chain reaction (RT-PCR) and cloning were used to characterize the expression of TCR Vβ families in renal biopsies and in peripheral blood lymphocytes.ResultsTCR Vβ8 was significantly and preferentially expressed in most IgAN kidney biopsies compared with peripheral blood lymphocytes from both IgAN patients and healthy controls (P < 0.001). TCR Vβ8 expression was more marked in progressive biopsies than in stable biopsies (P < 0.05). Spectratyping of Vβ8 RT-PCR products from T cells infiltrating the kidney showed an intense spectratype band at the shortest range of amplified CDR3s in the renal biopsies of four patients. Analysis of nucleotide and deduced amino acid sequences of Vβ8 PCR products derived from intense spectratype bands from these renal biopsies revealed a high concordance across the CDR3 region. A conserved amino acid (leucine) at the first position of the nongermline-encoded nucleotides and diversity (ND) junction of Vβ8 was found at a frequency of 95% in multiple sequences obtained from the renal biopsies of all four patients examined.ConclusionsThe preferential use of Vβ8 with marked similarities in the CDR3 region by some renal infiltrating T cells suggests clonal expansion of T cells in the kidneys of some IgAN patients. Conserved amino acids in the TCR CDR3 hypervariable region may contribute to the recognition of a particular antigen or set of antigens