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近期胸腺迁出 CD4+T 淋巴细胞焦亡在接受 ART 治疗的 HIV 阳性患者中的差异受性别影响。

Differences in pyroptosis of recent thymic emigrants CD4+ T Lymphocytes in ART-treated HIV-positive patients are influenced by sex.

机构信息

Department of Genetics, Federal University of Pernambuco UFPE, Recife, Pernambuco, Brazil.

Laboratory of Immunopathology Keizo Asami (LIKA), Federal University of Pernambuco UFPE, Recife, Pernambuco, 50670-901, Brazil.

出版信息

Immunogenetics. 2021 Aug;73(4):349-353. doi: 10.1007/s00251-020-01202-5. Epub 2021 Jan 15.

DOI:10.1007/s00251-020-01202-5
PMID:33449124
Abstract

Pyroptosis cell death in recent thymus emigrants (RTE) CD4+ T lymphocytes plays an important role on HIV-1 infection as a cause of CD4+ T cell depletion, being influenced by several factors, among them, the sex. Thus, the aim of this study was evaluated pyroptosis levels in RTE CD4+ T lymphocytes of individuals under antiretroviral therapy (ART) stratified by sex. Thirty-seven ART-treated HIV-positive patients (22 females and 15 males) and 12 (seven females and five males) clinically health subjects were recruited. Analysis by flow-cytometry of RTE CD4+ cells (CD4+ CD31+ /fluorescent-labeled inhibitors of caspases-Caspase-1+) were performed. Clinical and sociodemographic aspects were also evaluated from medical records. We observed statistically higher levels of pyroptosis RTE CD4+ T cells in male individuals (69.3%) compared with female group (39.1%) (P = 0.0356). Pre- and post-treatment CD4+ T cell counts were also higher in women than men (P = 0.004 and P = 0.012, respectively). Our data provides important evidence of the sex as a potential predictor of immunological reconstitution in ART-treated individuals.

摘要

新近胸腺迁出(RTE)CD4+T 淋巴细胞的细胞焦亡在 HIV-1 感染中作为 CD4+T 细胞耗竭的原因起重要作用,受多种因素影响,其中包括性别。因此,本研究旨在评估接受抗逆转录病毒治疗(ART)的个体中 RTE CD4+T 淋巴细胞的细胞焦亡水平,并按性别分层。招募了 37 名接受 ART 治疗的 HIV 阳性患者(22 名女性和 15 名男性)和 12 名(7 名女性和 5 名男性)临床健康受试者。通过流式细胞术分析 RTE CD4+细胞(CD4+CD31+荧光标记的半胱天冬酶抑制剂-胱天冬酶-1+)。还从病历中评估了临床和社会人口统计学方面。我们观察到男性个体(69.3%)的 RTE CD4+T 细胞细胞焦亡水平明显高于女性组(39.1%)(P=0.0356)。女性的治疗前和治疗后 CD4+T 细胞计数也高于男性(P=0.004 和 P=0.012)。我们的数据提供了重要证据,表明性别是接受 ART 治疗的个体免疫重建的潜在预测因素。

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