Variable frequencies of peripheral T-lymphocyte subsets in the diabetes spectrum from type 1 diabetes through latent autoimmune diabetes in adults (LADA) to type 2 diabetes.

Variable frequencies of peripheral T-lymphocyte subsets in the diabetes spectrum from type 1 diabetes through latent autoimmune diabetes in adults (LADA) to type 2 diabetes.
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DOI:
10.3389/fimmu.2022.974864
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发表时间:
2022
影响因子:
7.3
通讯作者:
Zhou, Zhiguang
Zhou, Zhiguang
中科院分区:
医学2区
文献类型:
--
作者:
Tan, Tingting;Xiang, Yufei;Deng, Chao;Cao, Chuqing;Ren, Zhihui;Huang, Gan;Zhou, Zhiguang

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T淋巴细胞是自身免疫性糖尿病发病机制中的关键参与者。我们招募了T1 D(n=81)、LADA(n=82)、T2 D(n=95)和NGT(n=218)受试者,并分析了T淋巴细胞亚群的百分比,包括T辅助细胞1(Th 1)、T辅助细胞2(Th 2)、T辅助细胞17(Th 17)、T细胞毒性1(Tc 1)、调节性T细胞(Tc 1)、效应T细胞(Teff)、幼稚T细胞、中枢记忆T细胞(Tcm)、和效应记忆T(Tem)细胞。LADA患者的IFN-γ+ CD 4 + T(Th 1)、IFN-γ+ CD 8 + T和CD 4 + Teff细胞与T1 D患者相似,但明显低于NGT患者。与T2 D患者一样,LADA患者的CD 4 + Tem和CD 8 + Tem细胞频率高于T1 D和NGT受试者。LADA患者Th 2细胞减少,CD 4 + Tcm细胞增加。值得注意的是,我们观察到LADA受试者的CD 4 + Tcm细胞频率和C肽之间存在显着的负相关性。这些数据表明,LADA患者具有类似T1 D和T2 D的T细胞亚群变化,代表T1 D和T2 D之间的糖尿病谱的中间。基于这些T细胞亚群的改变,我们推测自身免疫诱导的β细胞破坏和炎症诱导的胰岛素抵抗可能都参与了LADA的发病机制。
T lymphocytes are key players in the pathogenesis of autoimmune diabetes. We recruited subjects with T1D (n=81), LADA (n=82), T2D (n=95) and NGT (n=218) and analyzed the percentages of T-lymphocyte subsets, including T helper 1 (Th1), T helper 2 (Th2), T helper 17 (Th17), T cytotoxic 1 (Tc1), regulatory T cells (Tregs), effector T (Teff), naïve T, central memory T (Tcm), and effector memory T (Tem) cells by flow cytometry. LADA patients possessed similar frequencies of IFN-γ+CD4+ T (Th1), IFN-γ+CD8+ T and CD4+ Teff cells compared with T1D patients, but much lower than those of NGT subjects. Like T2D patients, LADA patients had increased frequencies of CD4+ Tem and CD8+ Tem cells with respect to T1D and NGT subjects. In LADA patients, Th2 cells were decreased while CD4+ Tcm cells were increased compared with NGT subjects. Notably, we observed significant negative correlations between the CD4+ Tcm cell frequency and C-peptide in LADA subjects. These data demonstrates that LADA patients possess T-cell subset changes resembling both T1D and T2D and represent the middle of the diabetes spectrum between T1D and T2D. Based on these T-cell subset alterations, we speculate that autoimmunity-induced β-cell destruction and inflammation-induced insulin resistance might both be involved in the pathogenesis of LADA.
DOI: 10.4049/jimmunol.1002615
发表时间: 2011-01-15
期刊: Journal of immunology (Baltimore, Md. : 1950)
影响因子: --
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发表时间: 2014-10
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