Paraneoplastic myasthenia gravis correlates with generation of mature naive CD4+ T cells in thymomas

Paraneoplastic myasthenia gravis correlates with generation of mature naive CD4+ T cells in thymomas
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DOI:
10.1182/blood.v100.1.159
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发表时间:
2002-07-01
期刊:
影响因子:
20.3
通讯作者:
Marx, A
Marx, A
中科院分区:
医学1区
文献类型:
--
作者:
Ströbel, P;Helmreich, M;Marx, A

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Myasthenia gravis (MG) is the leading paraneoplastic manifestation of thymomas and is probably related to the capacity of thymomas to mature and export potentially autoreactive T cells. Why some thymomas are MG associated (MG+) and others are not (MG-) has been unclear. We addressed this question by comparing the percentages of intratumorous naive mature CD45RA+ thymocytes in 9 MG(+) and in 13 MG(-) thymomas by fluorescence-activated cell sorting analysis. Our results show that intratumorous naive CD4 T cells were present in all MG(+) thymomas and in one MG(-) thymoma with the development of MG only 2 months after surgery. By contrast, the percentage of naive CD4(+) T cells was significantly reduced in all 13 MG(-) thymomas (P