Interleukin 10 and dendritic cells are the main suppression mediators of regulatory T cells in human neurocysticercosis

Interleukin 10 and dendritic cells are the main suppression mediators of regulatory T cells in human neurocysticercosis
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DOI:
10.1111/cei.12709
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发表时间:
2016-02-01
影响因子:
4.6
通讯作者:
Adalid-Peralta, L.
Adalid-Peralta, L.
中科院分区:
医学3区
文献类型:
--
作者:
Arce-Sillas, A.;Alvarez-Luquin, D. D.;Adalid-Peralta, L.

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神经囊虫病是由猪带绦虫在中枢神经系统的建立引起的。据认为,在共同进化过程中,寄生虫发展出了调节宿主免疫反应的策略。本文对调节性T细胞在控制神经囊虫病免疫应答中的作用机制进行了研究。与对照组相比,神经囊虫病患者血液中CD4(+)CD45RO(+)叉头盒蛋白3(FoxP3)(高)和CD4(+)CD25(高)FoxP3(+)CD95(高)表型的调节性T细胞和非调节性CD4(+)CD45RO(+)FoxP3(med) T细胞水平较高。有趣的是,调节性T细胞表达更高水平的细胞毒性T淋巴细胞抗原4 (CTLA-4)、淋巴细胞活化基因3 (LAG-3)、程序性死亡1 (PD-1)和糖皮质激素诱导的肿瘤坏死因子受体(GITR),提示树突状细胞与细胞间的接触机制。此外,神经囊虫患者外周血中IL-10和调节性T细胞1 (Tr1)水平升高,提示调节性T细胞的作用机制涉及免疫调节细胞因子的释放。没有证据表明调节性T细胞在抑制增殖反应中的作用。神经囊虫病患者的抑制性调节性T细胞与晚期活化淋巴细胞(CD4(+)CD38(+))呈负相关。我们的研究结果表明,在神经囊虫病期间,调节性T细胞可能通过与树突状细胞的细胞间接触和Tr1释放的白细胞介素(IL)-10来控制免疫反应,从而创造一个免疫调节环境,可能有利于猪囊虫的发育及其在中枢神经系统中的持久性。
Neurocysticercosis is caused by the establishment of Taenia solium cysticerci in the central nervous system. It is considered that, during co-evolution, the parasite developed strategies to modulate the host's immune response. The action mechanisms of regulatory T cells in controlling the immune response in neurocysticercosis are studied in this work. Higher blood levels of regulatory T cells with CD4(+)CD45RO(+)forkhead box protein 3 (FoxP3)(high) and CD4(+)CD25(high)FoxP3(+)CD95(high) phenotype and of non-regulatory CD4(+)CD45RO(+)FoxP3(med) T cells were found in neurocysticercosis patients with respect to controls. Interestingly, regulatory T cells express higher levels of cytotoxic T lymphocyte antigen 4 (CTLA-4), lymphocyte-activation gene 3 (LAG-3), programmed death 1 (PD-1) and glucocorticoid-induced tumour necrosis factor receptor (GITR), suggesting a cell-to-cell contact mechanism with dendritic cells. Furthermore, higher IL-10 and regulatory T cell type 1 (Tr1) levels were found in neurocysticercosis patients' peripheral blood, suggesting that the action mechanism of regulatory T cells involves the release of immunomodulatory cytokines. No evidence was found of the regulatory T cell role in inhibiting the proliferative response. Suppressive regulatory T cells from neurocysticercosis patients correlated negatively with late activated lymphocytes (CD4(+)CD38(+)). Our results suggest that, during neurocysticercosis, regulatory T cells could control the immune response, probably by a cell-to-cell contact with dendritic cells and interleukin (IL)-10 release by Tr1, to create an immunomodulatory environment that may favour the development of T. solium cysticerci and their permanence in the central nervous system.