Fine phenotypic and functional characterization of effector cluster of differentiation 8 positive T cells in human patients with primary biliary cirrhosis.

Fine phenotypic and functional characterization of effector cluster of differentiation 8 positive T cells in human patients with primary biliary cirrhosis.
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DOI:
10.1002/hep.24526
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发表时间:
2011-10
期刊:
影响因子:
13.5
通讯作者:
Gershwin, M. Eric
Gershwin, M. Eric
中科院分区:
医学1区
文献类型:
--
作者:
Tsuda, Masanobu;Ambrosini, Yoko M.;Zhang, Weici;Yang, Guo-Xiang;Ando, Yugo;Rong, Guanghua;Tsuneyama, Koichi;Sumida, Kosuke;Shimoda, Shinji;Bowlus, Christopher L.;Leung, Patrick S. C.;He, Xiao-Song;Coppel, Ross L.;Ansari, Aftab A.;Lian, Zhe-Xiong;Gershwin, M. Eric

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在原发性胆汁性肝硬化(PBC)中,患者对丙酮酸脱氢酶(PDC-E2) E2成分的高度限制性肽产生多谱系反应,包括自身抗体和自身反应性CD4+和CD8+ T细胞反应。最近来自小鼠模型的数据表明,肝脏浸润的CD8+细胞在PBC的胆道破坏中起关键作用。我们假设CD8+ T细胞的慢性抗原刺激改变效应记忆T细胞(TEM)的频率和功能,类似于慢性病毒感染,包括最终分化失败和对细胞凋亡的相对抗性。我们对132名受试者(包括76名PBC患者和56名对照)的CD8+ T细胞亚群进行了严格的表型分析,并报告了PBC患者PBMC中CD45ROhighCD57+CD8high但表达肠道归巢整合素α4β7的TEM细胞的频率更高。这些cd8高透射电镜细胞在TCR刺激后膜联蛋白V的表达降低。与TEM表型一致,CD45ROhighCD57+CD8high T细胞表达的颗粒酶a、颗粒酶B、穿孔素、CCR5和α4β7水平高于其他CD8high T细胞,而CCR7和CD28水平低于其他CD8high T细胞。此外,CD8+CD57+ T淋巴细胞在体外TCR刺激下产生的白细胞介素(IL)-5在PBC中增加。组织学上,PBC中CD8+CD57+ T细胞在门静脉周围聚集。此外,CD8+CD57+ T细胞对PDC-E2的MHC I类表位有特异性反应。总之,我们的数据表明,CD45ROhighCD57+CD8high T细胞是终末分化的细胞毒性TEM细胞的一个亚群,可能在胆道上皮细胞的进行性破坏中发挥关键作用。
In primary biliary cirrhosis (PBC), patients develop a multilineage response to a highly restricted peptide of the E2 component of pyruvate dehydrogenase (PDC-E2) involving autoantibody and autoreactive CD4+ and CD8+ T cell responses. Recent data from murine models have suggested that liver-infiltrating CD8+ cells play a critical role in biliary destruction in PBC. We hypothesized that chronic antigen stimulation of CD8+ T cells alters effector memory T cell (TEM) frequency and function similar to that seen with chronic viral infections including failure to terminally differentiate and relative resistance to apoptosis. We have rigorously phenotyped CD8+ T cell subpopulations from 132 subjects, including 76 patients with PBC and 56 controls, and report a higher frequency of TEM cells characterized as CD45ROhighCD57+CD8high but expressing the gut homing integrin α4β7 in PBMC of PBC. These CD8high TEM cells have reduced expression of annexin V after TCR stimulation. Consistent with a TEM phenotype, CD45ROhighCD57+CD8high T cells express higher levels of granzyme A, granzyme B, perforin, CCR5 and α4β7, and lower levels of CCR7 and CD28 than other CD8high T cells. Furthermore, interleukin (IL)-5 produced by CD8+CD57+ T lymphocytes upon in vitro TCR stimulation are increased in PBC. Histologically, CD8+CD57+ T cells accumulate around the portal area in PBC. Moreover, CD8+CD57+ T cells respond specifically to the MHC class I epitope of PDC-E2. In conclusion, our data demonstrate that CD45ROhighCD57+CD8high T cells are a subset of terminally differentiated cytotoxic TEM cells which could play a critical role in the progressive destruction of biliary epithelial cells.
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