人类慢性牙周炎炎症浸润中CD4+CD25+天然调节性T细胞的特征分析

Characterization of CD4+CD25+ natural regulatory T cells in the inflammatory infiltrate of human chronic periodontitis.

作者信息

Cardoso Cristina Ribeiro, Garlet Gustavo Pompermaier, Moreira Ana Paula, Júnior Wálter Martins, Rossi Marcos Antônio, Silva João Santana

机构信息

Department of Biochemistry and Immunology, School of Medicine of Ribeirão Preto, Brazil.

出版信息

J Leukoc Biol. 2008 Jul;84(1):311-8. doi: 10.1189/jlb.0108014. Epub 2008 May 1.

Abstract

Periodontitis is an infectious disease, where putative periodontopathogens trigger chronic inflammatory and immune responses against periodontal structures, in which an unbalanced host response is also determinant to the disease outcome. It is reasonable to assume that patient susceptibility to periodontal tissue destruction could be determined by the balance between the response against periodontopathogens and regulatory mechanisms of these events mediated by suppressive T cells. In the present study, we identified and characterized natural regulatory T cells (Tregs) in the inflammatory infiltrate of human chronic periodontitis (CP) with emphasis on phenotypic analyses that were carried out to address the participation of Tregs in CP. Results showed that patients with CP presented increased frequency of T lymphocytes and CD4+CD25+ T cells in the inflammatory infiltrate of gingival tissues. These cells exhibited the phenotypic markers of Tregs such as forkhead box p3 (Foxp3), CTLA-4, glucocorticoid-inducible TNFR, CD103, and CD45RO and seemed to be attracted to the inflammation site by the chemokines CCL17 and CCL22, as their expression and its receptor CCR4 were increased in CP patients. Moreover, besides the increased detection of Foxp3 mRNA, diseased tissues presented high expression of the regulatory cytokines IL-10 and TGF-beta. In addition, the inflammatory infiltrate in CP biopsies was composed of CD25+Foxp3+ and CD25+TGF-beta+ cells, thus corroborating the hypothesis of the involvement of Tregs in the pathogenesis of CP. Finally, these results indicate that Tregs are found in the chronic lesions and must be involved in the modulation of local immune response in CP patients.

摘要

牙周炎是一种感染性疾病,假定的牙周病原体引发针对牙周组织的慢性炎症和免疫反应,其中宿主反应失衡对疾病结局也起决定性作用。有理由认为,患者对牙周组织破坏的易感性可能由针对牙周病原体的反应与由抑制性T细胞介导的这些事件的调节机制之间的平衡所决定。在本研究中,我们鉴定并表征了人类慢性牙周炎(CP)炎症浸润中的自然调节性T细胞(Tregs),重点是为解决Tregs在CP中的参与情况而进行的表型分析。结果显示,CP患者牙龈组织炎症浸润中T淋巴细胞和CD4 + CD25 + T细胞的频率增加。这些细胞表现出Tregs的表型标志物,如叉头框p3(Foxp3)、细胞毒性T淋巴细胞相关抗原4(CTLA - 4)、糖皮质激素诱导的肿瘤坏死因子受体(glucocorticoid - inducible TNFR)、整合素αEβ7(CD103)和记忆性T细胞表面标志(CD45RO),并且似乎被趋化因子CCL17和CCL22吸引到炎症部位,因为它们在CP患者中的表达及其受体CCR4增加。此外,除了Foxp3 mRNA检测增加外,患病组织还呈现调节性细胞因子白细胞介素10(IL - 10)和转化生长因子β(TGF - β)的高表达。另外,CP活检组织中的炎症浸润由CD25 + Foxp3 +和CD25 + TGF - β+细胞组成,从而证实了Tregs参与CP发病机制的假说。最后,这些结果表明Tregs存在于慢性病变中,并且必定参与了CP患者局部免疫反应的调节。

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