Aberrant T cell subsets and cytokines expression profile in systemic lupus erythematosus

Aberrant T cell subsets and cytokines expression profile in systemic lupus erythematosus
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系统性红斑狼疮中异常的 T 细胞亚群和细胞因子表达谱

DOI:
10.1007/s10067-018-4124-0
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发表时间:
2018-05
期刊:
Clin Rheumatol
影响因子:
--
通讯作者:
Joshua Liao
Joshua Liao
中科院分区:
其他
文献类型:
--
作者:
Haiyan Zhou;Bailong Hu;Niwen Huang;Xiangang Mo;Wei Li;Bei Zhang;Bo Wei;Mingzhu Gao;Yiming Wang;Xingde Liu;Joshua Liao

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探讨SLE患者T细胞亚群、趋化因子和细胞因子水平与疾病活动性和器官受累的关系。分析来自SLE患者(n= 24)和健康对照(n= 36)的血液样品。计数循环滤泡辅助T细胞(Tfh)、中枢记忆T细胞(Tcm)、效应记忆T细胞(Tem)和初始T细胞亚群的频率,并通过流式细胞术检测其表面标志物诱导T细胞共刺激因子(ICOS)和程序性死亡1(PD-1)蛋白的表达。采用系统性红斑狼疮疾病活动指数(SLEDAI)评价SLE患者的疾病状态。测定自身抗体、血清C反应蛋白(CRP)、红细胞沉降率(ESR)、IgG、补体3、补体4、细胞因子和趋化因子(如IL-21、IL-17 A和IL-1β)的浓度。Tfh和Tcm细胞亚群频率明显低于健康对照组。SLE患者PBMC中PD 1 +ICOS+Tfh、PD 1 +ICOS+Tcm和PD 1 +ICOS+Tem的比例均高于健康对照组。SLE患者血清IL-1β、IL-4、IL-6、MCP-1、IL-21和IL-17 A水平高于健康对照组。此外,免疫性血小板减少症患者的血清IL-10、IL-17 A和IL-1β比例升高。SLE患者存在T细胞亚群和细胞因子表达的异常。PD 1 +ICOS+Tem细胞亚群明显受疾病活动性的影响,免疫性血小板减少症患者血清IL-10、IL-17 A和IL-1β水平显著升高。因此,PD 1 +ICOS+Tem细胞可作为SLE患者免疫性血小板减少的重要识别工具,血清IL-10、IL-17 A和IL-1β可作为SLE患者免疫性血小板减少的有效监测指标。
To assess T cell subsets and levels of chemokines and cytokines in patients with SLE and determine their relationships between disease activity and organ involvement. Blood samples from SLE patients (n= 24) and healthy controls (n= 36) were analyzed. Frequency of circulating follicular help T cells (Tfh), central memory T cells (Tcm), effector memory T cells (Tem), and naïve T cell subsets was enumerated and their surface markers expression of inducible T cell co-stimulator (ICOS) and programmed death 1(PD-1) protein was examined by flow cytometry. The disease state in SLE patients was evaluated using the SLE Disease Activity Index (SLEDAI). Concentrations of autoantibodies, serum C-reactive protein (CRP), the erythrocyte sedimentation rate (ESR), lgG, complement 3, complement 4, cytokines, and chemokines, such as IL-21, IL-17A, and IL-1β, were measured. The frequencies of circulating Tfh and Tcm cell subsets were significantly lower than those in healthy controls. However, the percentages of circulating PD1+ICOS+Tfh, PD1+ICOS+Tcm, and PD1+ICOS+Tem of PBMCs from SLE patients were higher than those in healthy controls. Furthermore, increased levels of serum IL-1β, IL-4, IL-6, MCP-1, IL-21, and IL-17A were detected in the patients with SLE compared to healthy controls. In addition, patients with immune thrombocytopenia displayed elevated proportions of serum IL-10, IL-17A, and IL-1β. Aberrant T cell subsets and cytokines expression profile were observed in SLE patients. PD1+ICOS+Tem cell subset was clearly influenced by disease activity and serum IL-10, IL-17A, and IL-1β were significantly increased in patients with immune thrombocytopenia. Therefore, PD1+ICOS+Tem cells might serve as an important tool for recognition and serum IL-10, IL-17A, and IL-1β might be an effective monitor for SLE patients with immune thrombocytopenia.
T细胞共刺激和共抑制的分子机制。
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发表时间: 2013-04
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