Glucocorticoids increase CD4CD25 cell percentage and Foxp3 expression in patients with multiple sclerosis.

Glucocorticoids increase CD4CD25 cell percentage and Foxp3 expression in patients with multiple sclerosis.
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DOI:
10.1111/j.1600-0404.2008.01090.x
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发表时间:
2009-04
影响因子:
3.5
通讯作者:
Constantinescu CS
Constantinescu CS
中科院分区:
医学3区
文献类型:
--
作者:
Braitch M;Harikrishnan S;Robins RA;Nichols C;Fahey AJ;Showe L;Constantinescu CS

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确定多发性硬化(MS)患者糖皮质激素治疗后复发与缓解时CD 4 + CD 25 high T细胞(一组调节性T细胞,Treg)的百分比是否不同,以及复发治疗是否改变Treg群体和Foxp 3(一种关键Treg相关分子)的表达。外周血单核细胞(PBMC)从20例MS患者复发期间,之前和开始类固醇治疗(静脉注射甲泼尼龙1克/天,3天)后2天,然后6周后治疗。采用流式细胞术分析CD 4 + CD 25 hi细胞。通过使用ELISA测量细胞因子,并通过使用定量实时PCR测量Foxp 3、CD 3和CD 25表达。CD 4 + CD 25 hi细胞百分比、血浆IL-10和Foxp 3/CD 3比值在甲基强的松龙开始治疗后48 h升高,并在治疗后6周恢复至基线值。结果表明,糖皮质激素增加Treg细胞功能分子和百分比。这可能是类固醇加速MS复发恢复的机制。
To determine whether percentages of CD4+CD25high T cells (a group of regulatory T cells, Treg) differ in patients with multiple sclerosis (MS) in relapse vs remission after glucocorticoid treatment and whether treatment for relapses changes Treg population and the expression of Foxp3, a key Treg-associated molecule. Peripheral blood mononuclear cells (PBMC) were obtained from 20 patients with MS during relapse, just before and 2 days after starting steroid treatment (i.v. methyl-prednisolone 1 g / day for 3 days) and then 6 weeks after treatment. CD4+CD25hi cells were analysed by using flow cytometry. Cytokines were measured by using an ELISA and Foxp3, CD3 and CD25 expression by using quantitative real-time PCR. The percentage of CD4+CD25hi cells, plasma IL-10 and Foxp3 / CD3 ratio increased 48 h after methylprednisolone initiation and returned to baseline values by 6 weeks post-treatment. Results suggest that glucocorticoids increase Treg cell functional molecules and percentages. This may be a mechanism whereby steroids expedite recovery from MS relapses.
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