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溃疡性结肠炎患者的 CD8+ CD28+ / CD8+ CD28- T 淋巴细胞平衡至关重要。

Balance of CD8+ CD28+ / CD8+ CD28- T lymphocytes is vital for patients with ulcerative colitis.

机构信息

Emergency Department of Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.

出版信息

Dig Dis Sci. 2013 Jan;58(1):88-96. doi: 10.1007/s10620-012-2327-9. Epub 2012 Aug 1.

Abstract

BACKGROUND

Immune balances are important for many diseases including ulcerative colitis (UC). This study aimed to explore the role of the balance between CD8+ CD28+ and CD8+ CD28- T lymphocytes for the immunological pathogenesis of UC.

METHODS

Sixteen patients with UC, 16 patients with irritable bowel syndrome (IBS) and 15 healthy volunteers were enrolled. The frequencies of CD8+ CD28+ and CD8+CD28- T lymphocytes in peripheral blood and colon tissue were tested using flow cytometry and immunofluorescent, respectively. The cytokines of the two lymphocytes were detected by protein chips and ELISA. The expression of the signal transducers, the JAK3 and STAT6, as well the transcription factors, the NFATc2 and GATA3, was all detected by both western blot and immunohistochemistry.

RESULTS

For UC patients, the frequencies of CD8+ CD28+ T lymphocytes, together with the ratios of CD8+ CD28+ / CD8+ CD28- T lymphocytes in blood and colon tissue, were significantly lower than those in both IBS patients and healthy volunteers. But the frequencies of CD8+ CD28- T lymphocytes in blood and colon tissue of the UC patients were significantly higher than the other two groups. The concentration of IL-7 and -13, and the expression of JAK3 and STAT6 in UC patients, were significantly lower when compared with the other two groups. Conversely, the concentration of IL-12p40 and -15, and the expression of GATA3 and NFATc2 in UC patients, were significantly higher than both IBS and control group.

CONCLUSIONS

The balance of CD8+ CD28+ / CD8+ CD28- T lymphocytes plays a vital role in UC, while the balance tilt towards CD8+ CD28+ T lymphocytes is beneficial for patients with UC.

摘要

背景

免疫平衡对于包括溃疡性结肠炎(UC)在内的许多疾病都很重要。本研究旨在探讨 CD8+ CD28+ 和 CD8+ CD28- T 淋巴细胞之间的平衡在 UC 的免疫发病机制中的作用。

方法

纳入 16 例 UC 患者、16 例肠易激综合征(IBS)患者和 15 名健康志愿者。采用流式细胞术和免疫荧光法分别检测外周血和结肠组织中 CD8+ CD28+ 和 CD8+ CD28- T 淋巴细胞的频率。采用蛋白质芯片和 ELISA 检测两种淋巴细胞的细胞因子。采用 Western blot 和免疫组化法检测信号转导子 JAK3 和 STAT6,以及转录因子 NFATc2 和 GATA3 的表达。

结果

UC 患者外周血和结肠组织中 CD8+ CD28+ T 淋巴细胞的频率以及 CD8+ CD28+ / CD8+ CD28- T 淋巴细胞的比值均明显低于 IBS 患者和健康志愿者,但 UC 患者外周血和结肠组织中 CD8+ CD28- T 淋巴细胞的频率明显高于其他两组。UC 患者 IL-7 和-13 的浓度以及 JAK3 和 STAT6 的表达明显低于其他两组,而 IL-12p40 和-15 的浓度以及 GATA3 和 NFATc2 的表达明显高于 IBS 患者和健康志愿者。

结论

CD8+ CD28+ / CD8+ CD28- T 淋巴细胞的平衡在 UC 中起着重要作用,而向 CD8+ CD28+ T 淋巴细胞倾斜的平衡有利于 UC 患者。

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