CD4+CD25high T cell numbers are enriched in the peripheral blood of patients with rheumatoid arthritis.

CD4+CD25high T cell numbers are enriched in the peripheral blood of patients with rheumatoid arthritis.
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DOI:
10.1016/j.cellimm.2008.05.007
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发表时间:
2008-05
影响因子:
4.3
通讯作者:
Lawrence, David A.
Lawrence, David A.
中科院分区:
医学4区
文献类型:
--
作者:
Han, Guang Ming;O'Neil-Andersen, Nancy J.;Zurier, Robert B.;Lawrence, David A.

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越来越多的证据表明,CD4+CD25High T调节性T细胞在控制和预防自身免疫中发挥着重要作用。矛盾的是,RA患者循环中的CD4+CD25High T细胞数量增加,然而,炎症仍在继续。对这些CD4+CD25High T细胞的进一步鉴定可能有助于更好地了解其潜在的机制。这些T细胞由CD_4+CD_(25)HighFoxP3+Treg细胞和活化的CD_4+CD_(25)HighFoxP3−效应细胞组成。此外,表达GITR的Treg细胞和效应T细胞明显增多,表达GITR-L的单核细胞明显增多。因此,尽管RA患者的CD4+CD25High T细胞数量增加,但抑制功能并没有增加,因为激活的效应性T细胞数量增加了。此外,RA患者GITR-GITR-L系统被激活,这可能导致Treg细胞的抑制活性降低和/或导致抵抗激活的效应T细胞对Treg细胞的抑制,从而导致RA患者的持续炎症。
Accumulating evidences support that CD4+CD25high T regulatory (Treg) cells play an essential role in controlling and preventing autoimmunity. Paradoxically, RA patients have elevated numbers of circulating CD4+CD25high T cells, however, the inflammation is still ongoing. Further identification of these CD4+CD25high T cells may contribute to a better understanding of underlying mechanisms. We show here that these CD4+CD25high T cells were composed of CD4+CD25highFoxP3+ Treg cells and activated CD4+CD25highFoxP3− effector cells. Moreover, there were significantly more Treg cells and effector T cells expressing GITR, and more monocytes expressing GITR-L. Thus, although RA patients have elevated numbers of CD4+CD25high T cells, the suppressive function is not increased, because of the increased number of activated effector T cells. In addition, the GITR-GITR-L system was activated in RA patients, which might lead to diminish suppressive activity of Treg cells and/or lead to resist to suppression of Treg cells by activated effector T cells, thus, contributing to the ongoing inflammation in RA patients.
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