双阴性T细胞,一种系统性红斑狼疮的潜在生物标志物。
Double negative T cells, a potential biomarker for systemic lupus erythematosus.
作者信息
Alexander Jessy J, Jacob Alexander, Chang Anthony, Quigg Richard J, Jarvis James N
机构信息
Department of Pathology, University of Chicago, Chicago, IL 60637, USA.
Departments of Medicine, Pediatrics, Jacobs School of Medicine and Biomedical Sciences and Genetics, Genomics, & Bioinformatics Program, University at Buffalo, Buffalo, NY 14203, USA.
出版信息
Precis Clin Med. 2020 Mar;3(1):34-43. doi: 10.1093/pcmedi/pbaa001. Epub 2020 Jan 20.
Systemic lupus erythematosus (SLE) is an autoimmune disease that is a challenge to diagnose and treat. There is an urgent need for biomarkers to help define organ involvement, and more effective therapies. A unique population of T cells, the CD3CD4CD8 (DNeg) cells, is significantly increased in lupus patients. Twenty-seven cases (53%) of pediatric SLE patients had elevated DNeg cells in their peripheral blood, which correlated with kidney function ( = 0.54). Significant infiltration of DNeg cells was observed in both adult and pediatric lupus kidneys by immunofluorescence. For the first time, this study provides direct evidence that DNeg cells facilitate kidney injury in preclinical 8-week-old MRL/ lupus mice. In lupus mice, the increase in DNeg cells tracked with worsening disease and correlated with kidney function ( = 0.85). Our results show that DNeg cells can cause kidney dysfunction, increase in number with increase in disease pathology, and could serve as a potential biomarker.
系统性红斑狼疮(SLE)是一种自身免疫性疾病,其诊断和治疗颇具挑战。迫切需要生物标志物来帮助确定器官受累情况以及更有效的治疗方法。一种独特的T细胞群体,即CD3CD4CD8(双阴性,DNeg)细胞,在狼疮患者中显著增加。27例(53%)儿科SLE患者外周血中的DNeg细胞升高,这与肾功能相关(r = 0.54)。通过免疫荧光法在成人和儿科狼疮性肾脏中均观察到DNeg细胞的显著浸润。本研究首次提供了直接证据,表明DNeg细胞在临床前8周龄的MRL/lupus小鼠中促进肾脏损伤。在狼疮小鼠中,DNeg细胞的增加与疾病恶化相关,并与肾功能相关(r = 0.85)。我们的结果表明,DNeg细胞可导致肾功能障碍,其数量随疾病病理变化而增加,并且可能作为一种潜在的生物标志物。