诱导免疫抑制剂对肾移植后T淋巴细胞亚群的影响:一项聚焦于抗胸腺细胞球蛋白和巴利昔单抗诱导治疗的前瞻性观察研究
Impact of Induction Immunosuppressants on T Lymphocyte Subsets after Kidney Transplantation: A Prospective Observational Study with Focus on Anti-Thymocyte Globulin and Basiliximab Induction Therapies.
作者信息
Kim Hyung Duk, Bae Hyunjoo, Yun Sojeong, Lee Hanbi, Eum Sang Hun, Yang Chul Woo, Oh Eun-Jee, Chung Byung Ha
机构信息
Division of Nephrology, Department of Internal Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Republic of Korea.
Department of Biomedical Science, Graduate School, The Catholic University of Korea, Seoul 06591, Republic of Korea.
出版信息
Int J Mol Sci. 2023 Sep 19;24(18):14288. doi: 10.3390/ijms241814288.
Induction immunosuppressive therapy for kidney transplant recipients (KTRs) primarily includes interleukin-2 receptor antagonists, such as basiliximab (BXM) or lymphocyte-depleting agents, and anti-thymocyte globulin (ATG). This study aimed to investigate their effects on T cell dynamics during the early post-transplantation period. This prospective observational study included 157 KTRs. Peripheral blood samples were collected from each patient within 5 days before and 4 and 12 weeks after transplantation. Flow cytometric analysis was performed to assess various T cell subsets whose changes were then analyzed. In the ATG group, CD4 T cell expression decreased significantly compared with that in the BXM group. However, CD4CD161 and CD4CD25CD127low T cell expression levels increased significantly. In the CD8 T cell subset, a decrease in CD8CD28nullCD57 and CD8CCR7 T cell expression was observed in the ATG group. However, among patients diagnosed with biopsy-proven acute rejection, T cell subset expression did not significantly differ relative to non-rejection cases. In conclusion, ATG induction therapy resulted in more pronounced changes in T lymphocyte subsets than BXM induction, with increased CD4CD161 and CD4CD25CD127low T cells and an early decrease in CD8CD28nullCD57 and CD8CCR7 T cells, some of which are associated with acute rejection.
肾移植受者(KTRs)的诱导免疫抑制治疗主要包括白细胞介素-2受体拮抗剂,如巴利昔单抗(BXM)或淋巴细胞清除剂以及抗胸腺细胞球蛋白(ATG)。本研究旨在调查它们在移植后早期对T细胞动态的影响。这项前瞻性观察性研究纳入了157例KTRs。在移植前5天以及移植后4周和12周从每位患者采集外周血样本。进行流式细胞术分析以评估各种T细胞亚群,然后分析其变化。在ATG组中,与BXM组相比,CD4 T细胞表达显著降低。然而,CD4CD161和CD4CD25CD127low T细胞表达水平显著升高。在CD8 T细胞亚群中,在ATG组中观察到CD8CD28nullCD57和CD8CCR7 T细胞表达降低。然而,在经活检证实为急性排斥反应的患者中,T细胞亚群表达与非排斥病例相比无显著差异。总之,与BXM诱导相比,ATG诱导治疗导致T淋巴细胞亚群发生更明显的变化,CD4CD161和CD4CD25CD127low T细胞增加,CD8CD28nullCD57和CD8CCR7 T细胞早期减少,其中一些与急性排斥反应有关。
相似文献
Nephrol Dial Transplant. 2012-6
J Heart Lung Transplant. 2005-9
引用本文的文献
本文引用的文献
Front Immunol. 2023
Korean J Transplant. 2019-12-31
Kidney Res Clin Pract. 2022-5
Kidney Res Clin Pract. 2021-9
Transplantation. 2018-11