A role for calreticulin in the pathogenesis of rheumatoid arthritis

Ann N Y Acad Sci. 2010 Oct;1209:91-8. doi: 10.1111/j.1749-6632.2010.05745.x.


Calreticulin (CRT) plays a role in the clearance of dying cells and has been implicated in autoimmunity. Recent evidence indicates that cell surface CRT (csCRT) acts as a signal transducing receptor for the rheumatoid arthritis (RA) shared epitope (SE). The SE binding site on CRT has been mapped to amino acid residues 217-223 in the P-domain. Upon interaction with dendritic cells (DCs), the SE activates potent immune regulatory events. In CD8α(+) DCs, which express higher abundance of csCRT, the SE inhibits the tolerogenic enzyme indoleamine 2,3 dioxygenase with resultant inhibition of regulatory T (Treg) cell differentiation. In CD8α(-) DCs, the SE ligand increases secretion of IL-6 and IL-23 and facilitates generation of Th17 cells, a T cell subset known to play a role in autoimmunity. On the basis of these recent findings, we discuss the possibility that the csCRT may play a pathogenic role in RA by transducing SE-activated Th17-polarizing signals.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Arthritis, Rheumatoid / immunology
  • Arthritis, Rheumatoid / physiopathology*
  • CD8 Antigens / immunology
  • Calreticulin / physiology*
  • Cell Differentiation
  • Epitopes / immunology
  • Humans
  • Mice
  • T-Lymphocytes, Regulatory / cytology
  • T-Lymphocytes, Regulatory / immunology


  • CD8 Antigens
  • Calreticulin
  • Epitopes