Niu Qian, Huang Zhuo-chun, Cai Bei, Wang Lan-lan, Feng Wei-hua
Clinical Immunological Laboratory, West China Hospital of Sichuan University, Chengdu 610041, China.
Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2011 Jan;27(1):23-5.
To explore the frequencies of peripheral blood CD4(+);CD25(high);Treg and CD4(+);CD25(low);T cells and the expression of the co-stimulatory molecule PD-1 on these two group cells surface in SLE and RA patients, and to explore their roles in cell immunity disorder of SLE and RA.
Flow cytometry (FCM) was used to determine the frequencies of peripheral blood CD4(+);CD25(high);Treg and CD4(+);CD25(low);T cells, and the expression percentage of PD-1.
Compared with healthy control, the frequencies of peripheral blood CD4(+);CD25(high);Treg from both SLE and RA patients groups decreased significantly(P<0.05). Compared between two disease groups, the frequency of peripheral blood CD4(+);CD25(high);Treg in SLE patients was significantly lower(P<0.05). The expression percentage of PD-1 on CD4(+);CD25(high);Treg surface in RA group was obviously lower than that in both healthy control and SLE patients groups(P<0.05), while the percentage had no significant difference between SLE patients and healthy control(P>0.05). There was no significant difference in both the frequency of CD4(+);CD25(low);T cells and the expression percentage of PD-1 on this subset cells among three groups.
The weakened ability of peripheral blood CD4(+);CD25(high);Treg to suppress effector T cells resulted from their production deficiency is the common characteristic of SLE and RA patients. Decreased expression of PD-1 is the primary cause leading to the suppressive function of peripheral blood CD4(+);CD25(high);Treg weakened in RA patients. However, PD-1 does not play major role in weakening the suppression activity of CD4(+);CD25(high);Treg from SLE patients.
探讨系统性红斑狼疮(SLE)和类风湿关节炎(RA)患者外周血CD4(+);CD25(高);调节性T细胞(Treg)及CD4(+);CD25(低);T细胞的频率,以及共刺激分子程序性死亡受体1(PD-1)在这两组细胞表面的表达情况,并探讨其在SLE和RA细胞免疫紊乱中的作用。
采用流式细胞术(FCM)检测外周血CD4(+);CD25(高);Treg及CD4(+);CD25(低);T细胞的频率和PD-1的表达百分比。
与健康对照相比,SLE和RA患者组外周血CD4(+);CD25(高);Treg频率均显著降低(P<0.05)。两疾病组比较,SLE患者外周血CD4(+);CD25(高);Treg频率显著更低(P<0.05)。RA组CD4(+);CD25(高);Treg表面PD-1的表达百分比明显低于健康对照和SLE患者组(P<0.05),而SLE患者与健康对照之间该百分比无显著差异(P>0.05)。三组间CD4(+);CD25(低);T细胞频率及该亚群细胞表面PD-1表达百分比均无显著差异。
外周血CD4(+);CD25(高);Treg产生不足导致其抑制效应性T细胞能力减弱是SLE和RA患者的共同特征。PD-1表达降低是导致RA患者外周血CD4(+);CD25(高);Treg抑制功能减弱的主要原因。然而,PD-1在减弱SLE患者CD4(+);CD25(高);Treg的抑制活性中不起主要作用。