Assay of T- and NK-cell subsets and the expression of NKG2A and NKG2D in patients with new-onset systemic lupus erythematosus

被引:58
作者
Li, Wen-Xian [1 ]
Pan, Hai-Feng [1 ]
Hu, Jian-Li [1 ]
Wang, Chang-Zhong [1 ,2 ]
Zhang, Ning [1 ]
Li, Jing [1 ]
Li, Xiang-Pei [3 ]
Xu, Jian-Hua [4 ]
Ye, Dong-Qing [1 ]
机构
[1] Anhui Med Univ, Dept Epidemiol & Biostat, Sch Publ Hlth, Hefei 230032, Anhui, Peoples R China
[2] Anhui Univ Tradit Chinese Med, Dept Immunol, Hefei, Peoples R China
[3] Anhui Prov Hosp, Dept Rheumatol, Hefei, Peoples R China
[4] Anhui Med Univ, Affiliated Hosp 1, Dept Rheumatol, Hefei, Peoples R China
基金
中国国家自然科学基金;
关键词
NK-cell subset; NKG2A; NKG2D; Systemic lupus erythematosus; T-cell subset; NATURAL-KILLER-CELLS; WHITE BLOOD-CELLS; LYMPHOCYTE SUBSETS; KILLING DEFECT; DISEASE; QUANTIFICATION; AUTOANTIBODIES; CYTOTOXICITY; INDUCTION; TOLERANCE;
D O I
10.1007/s10067-009-1322-9
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
This study aims to explore the percentage of T-cell and NK-cell subsets, the expression of NKG2A and NKG2D on CD3+ T cells and CD3-CD56+ NK cells on the total lymphocytes in new-onset systemic lupus erythematosus (SLE) patients, and explore clinical significance of these cell subsets. Thirty-two SLE patients and 32 normal controls were enrolled. Flow cytometry was used to count T- and NK-cell subsets and to detect the expression of NKG2A and NKG2D on CD3+ T cells and CD3-CD56+ NK cells in patients with new-onset SLE. Results show that CD4+ T (t = 2.04, P < 0.05), CD4+/CD8+ T cell (t = 2.66, P < 0.05), CD4+ CD25+ T (t = 2.48, P < 0.05), CD3+CD56+ natural killer T (NKT) (t = 40.05, P < 0.01), CD3-CD56+CD16+ NK-cell subsets (t = 3.50, P < 0.01) were significantly decreased, CD8+ T-cell subsets was significantly increased in patients with new-onset SLE (t = 3.80, P < 0.01), as compared with healthy controls. CD8+ T-cell subset was significantly increased in patients with vasculitis (t = 2.47, P < 0.05), and CD3-CD56+CD16+ NK was increased in patients with arthritis (t = 3.21, P < 0.01). However, no statistically significant correlation was found among different PBMC subsets and SLEDAI activity scores. Patients with SLE had a lower expression of NKG2A (U = 2.42, P < 0.05) as well as NKG2A/NKG2D ratio (t = 2.61, P < 0.05) and a higher expression of NKG2D (t = 2.21, P < 0.05) on CD3+ T cells, compared with normal controls. However, they had a higher expression of NKG2A (t = 2.59, P < 0.05) as well as NKG2A/NKG2D ratio (t = 49.45, P < 0.01) and a lower expression of NKG2D (t = 3.05, P < 0.01) on CD3-CD56+ NK cells. Taken together, the findings indicate the decreased CD4+ T-cell, CD4+/CD8+ T-cell, CD4+CD25+ T-cell, CD3+CD56+ NKT-, and CD3-CD56+CD16+ NK-cell subsets, increased CD8+ T-cell subsets as well as the abnormal expression of NKG2A and NKG2D on CD3+ T and CD3-CD56 + NK cells may play a role in the etiology of SLE.
引用
收藏
页码:315 / 323
页数:9
相关论文
共 37 条
[1]
LYMPHOCYTE-T SUBSETS IN SYSTEMIC LUPUS-ERYTHEMATOSUS - CORRELATIONS WITH CORTICOSTEROID-THERAPY AND DISEASE-ACTIVITY [J].
BAKKE, AC ;
KIRKLAND, PA ;
KITRIDOU, RC ;
QUISMORIO, FP ;
REA, T ;
EHRESMANN, GR ;
HORWITZ, DA .
ARTHRITIS AND RHEUMATISM, 1983, 26 (06) :745-750
[2]
Quantification of absolute peripheral white blood cells and their subsets in patients with lupus erythematosus:: comparison with other inflammatory diseases with and without autoimmune background [J].
Böhm, I .
BIOMEDICINE & PHARMACOTHERAPY, 2006, 60 (02) :92-95
[3]
Nuclear-targeting autoantibodies induced nuclear PARP cleavage accompanied by more pronounced decrease of peripheral white blood cells than Ro/SSA and La/SSB antigen-targeting autoantibodies [J].
Böhm, I .
JOURNAL OF CLINICAL IMMUNOLOGY, 2005, 25 (02) :99-105
[4]
Apoptosis:: the link between autoantibodies and leuko-/lymphocytopenia in patients with lupus erythematosus [J].
Böhm, I .
SCANDINAVIAN JOURNAL OF RHEUMATOLOGY, 2004, 33 (06) :409-416
[5]
DERIVATION OF THE SLEDAI - A DISEASE-ACTIVITY INDEX FOR LUPUS PATIENTS [J].
BOMBARDIER, C ;
GLADMAN, DD ;
UROWITZ, MB ;
CARON, D ;
CHANG, CH .
ARTHRITIS AND RHEUMATISM, 1992, 35 (06) :630-640
[6]
Quantification of regulatory T cells in patients with systemic lupus erythematosus [J].
Crispin, JC ;
Martínez, A ;
Alcocer-Varela, J .
JOURNAL OF AUTOIMMUNITY, 2003, 21 (03) :273-276
[7]
Selective associations with signaling proteins determine stimulatory versus costimulatory activity of NKG2D [J].
Diefenbach, A ;
Tomasello, E ;
Lucas, M ;
Jamieson, AM ;
Hsia, JK ;
Vivier, E ;
Raulet, DH .
NATURE IMMUNOLOGY, 2002, 3 (12) :1142-1149
[8]
The regulation of FasL expression -: A distinguishing feature between monocytes and T lymphocytes/NK cells with possible implications for SLE [J].
Eneslätt, K ;
Rantapää-Dahlqvist, S ;
Uddhammar, A ;
Sundqvist, KG .
JOURNAL OF CLINICAL IMMUNOLOGY, 2001, 21 (03) :183-192
[9]
LYMPHOCYTE SUBSETS IN A LARGE COHORT OF PATIENTS WITH SYSTEMIC LUPUS-ERYTHEMATOSUS [J].
ERKELLERYUKSEL, F ;
HULSTAART, F ;
HANNET, I ;
ISENBERG, D ;
LYDYARD, P .
LUPUS, 1993, 2 (04) :227-231
[10]
NKT cells derive from double-positive thymocytes that are positively selected by CDId [J].
Gapin, L ;
Matsuda, JL ;
Surh, CD ;
Kronenberg, M .
NATURE IMMUNOLOGY, 2001, 2 (10) :971-978