CD39<sup>+</sup> EXPRESSION BY REGULATORY T CELLS IN PULMONARY SARCOIDOSIS AND LOFGREN’S SYNDROME

Sarcoidosis is a disorder of unknown etiology characterized by development of necrosis-free epithelioid cell granulomas in various tissues. There are two main phenotypes of pulmonary sarcoidosis (PS): Lofgren’s syndrome (LS) is an acute form with favorable outcome, while non-Lofgren’s syndrome (nLS)...

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Autores principales: I. V. Kudryavtsev, N. M. Lazareva, O. P. Baranova, A. S. Golovkin, D. V. Isakov, M. K. Serebriakova, T. P. Ses’, M. M. Ilkovich, Areg A. Totolian
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Publicado: SPb RAACI 2019
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spelling oai:doaj.org-article:6b7c030954df40b3ba1281b68c28aa242021-11-18T08:03:48ZCD39<sup>+</sup> EXPRESSION BY REGULATORY T CELLS IN PULMONARY SARCOIDOSIS AND LOFGREN’S SYNDROME1563-06252313-741X10.15789/1563-0625-2019-3-467-478https://doaj.org/article/6b7c030954df40b3ba1281b68c28aa242019-07-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/1820https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XSarcoidosis is a disorder of unknown etiology characterized by development of necrosis-free epithelioid cell granulomas in various tissues. There are two main phenotypes of pulmonary sarcoidosis (PS): Lofgren’s syndrome (LS) is an acute form with favorable outcome, while non-Lofgren’s syndrome (nLS) is a chronic type of disease that can lead to pulmonary fibrosis in 20% of cases.Our study was aimed at investigating changes in the main cell-surface differentiation antigens on peripheral blood regulatory T cells (Tregs) from the patients with first diagnosed PS without treatment (LS, n = 11) and nLS (n = 46) compared to healthy volunteers (HC, n = 26).These indexes might be used as immunological markers for predicting severity of this disorder. Flow cytometry analysis of peripheral blood cell samples demonstrated that the nLS patients had decreased relative numbers of CD3+ cells vs healthy controls, as well as diminished CD3+CD4+ cells vs HC and LS patients. Furthermore, the relative and absolute Treg numbers were also decreased in nLS group vs HC (2.83% (2.47; 3.36) vs 3.33% (2.79; 3.84), p = 0.021), and 37 (29; 52) cells vs 50 (42; 65), p = 0.004, respectively) per one microliter of peripheral blood. Relative number of CD39-positive Тregs in chronic vs acute sarcoidosis patients was associated with 51.02% (38.20; 61.62) vs 48.64% (41.46; 63.72) that was significantly (p &lt; 0.001 and p = 0.007, respectively) higher than in HC (39.52% (11.55; 46.34). We have found that “naïve” (CD45R0-CD62L+) Тregs did not significantly differ in percentage of CD39- and CD73-positive cells in all the groups tested. Moreover, CD45R0+CD62L+ Тregs in LS and nLS patients contained significantly more CD39-positive cells (69.66% (61.92; 79.34) and 67.62% (61.92; 79.34), respectively, compared to 47.55% (15.74; 65.32) in HC (p &lt; 0.001 and p = 0.004, respectively). In case of CD45R0 + CD62LTregs able to exit from the circulation and migrate to the site of inflammation, an increased percentage of CD39-positive subset was noted only in patients with chronic sarcoidosis and HC (61.79% (55.12; 73.09) and 57.27% (16.03; 66.98), p = 0.006). Enhanced CD39 expression on Tregs seems to be related to chronic immune response, so that antigen elimination becomes impossible due to Treg overactivation, as shown in patients with sarcoidosis and some other chronic autoimmune and infectious disorders.I. V. KudryavtsevN. M. LazarevaO. P. BaranovaA. S. GolovkinD. V. IsakovM. K. SerebriakovaT. P. Ses’M. M. IlkovichAreg A. TotolianSPb RAACIarticlesarcoidosisregulatory t cellscd39 expressionflow cytometrymulti-color immunophenotypingImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 21, Iss 3, Pp 467-478 (2019)
institution DOAJ
collection DOAJ
language RU
topic sarcoidosis
regulatory t cells
cd39 expression
flow cytometry
multi-color immunophenotyping
Immunologic diseases. Allergy
RC581-607
spellingShingle sarcoidosis
regulatory t cells
cd39 expression
flow cytometry
multi-color immunophenotyping
Immunologic diseases. Allergy
RC581-607
I. V. Kudryavtsev
N. M. Lazareva
O. P. Baranova
A. S. Golovkin
D. V. Isakov
M. K. Serebriakova
T. P. Ses’
M. M. Ilkovich
Areg A. Totolian
CD39<sup>+</sup> EXPRESSION BY REGULATORY T CELLS IN PULMONARY SARCOIDOSIS AND LOFGREN’S SYNDROME
description Sarcoidosis is a disorder of unknown etiology characterized by development of necrosis-free epithelioid cell granulomas in various tissues. There are two main phenotypes of pulmonary sarcoidosis (PS): Lofgren’s syndrome (LS) is an acute form with favorable outcome, while non-Lofgren’s syndrome (nLS) is a chronic type of disease that can lead to pulmonary fibrosis in 20% of cases.Our study was aimed at investigating changes in the main cell-surface differentiation antigens on peripheral blood regulatory T cells (Tregs) from the patients with first diagnosed PS without treatment (LS, n = 11) and nLS (n = 46) compared to healthy volunteers (HC, n = 26).These indexes might be used as immunological markers for predicting severity of this disorder. Flow cytometry analysis of peripheral blood cell samples demonstrated that the nLS patients had decreased relative numbers of CD3+ cells vs healthy controls, as well as diminished CD3+CD4+ cells vs HC and LS patients. Furthermore, the relative and absolute Treg numbers were also decreased in nLS group vs HC (2.83% (2.47; 3.36) vs 3.33% (2.79; 3.84), p = 0.021), and 37 (29; 52) cells vs 50 (42; 65), p = 0.004, respectively) per one microliter of peripheral blood. Relative number of CD39-positive Тregs in chronic vs acute sarcoidosis patients was associated with 51.02% (38.20; 61.62) vs 48.64% (41.46; 63.72) that was significantly (p &lt; 0.001 and p = 0.007, respectively) higher than in HC (39.52% (11.55; 46.34). We have found that “naïve” (CD45R0-CD62L+) Тregs did not significantly differ in percentage of CD39- and CD73-positive cells in all the groups tested. Moreover, CD45R0+CD62L+ Тregs in LS and nLS patients contained significantly more CD39-positive cells (69.66% (61.92; 79.34) and 67.62% (61.92; 79.34), respectively, compared to 47.55% (15.74; 65.32) in HC (p &lt; 0.001 and p = 0.004, respectively). In case of CD45R0 + CD62LTregs able to exit from the circulation and migrate to the site of inflammation, an increased percentage of CD39-positive subset was noted only in patients with chronic sarcoidosis and HC (61.79% (55.12; 73.09) and 57.27% (16.03; 66.98), p = 0.006). Enhanced CD39 expression on Tregs seems to be related to chronic immune response, so that antigen elimination becomes impossible due to Treg overactivation, as shown in patients with sarcoidosis and some other chronic autoimmune and infectious disorders.
format article
author I. V. Kudryavtsev
N. M. Lazareva
O. P. Baranova
A. S. Golovkin
D. V. Isakov
M. K. Serebriakova
T. P. Ses’
M. M. Ilkovich
Areg A. Totolian
author_facet I. V. Kudryavtsev
N. M. Lazareva
O. P. Baranova
A. S. Golovkin
D. V. Isakov
M. K. Serebriakova
T. P. Ses’
M. M. Ilkovich
Areg A. Totolian
author_sort I. V. Kudryavtsev
title CD39<sup>+</sup> EXPRESSION BY REGULATORY T CELLS IN PULMONARY SARCOIDOSIS AND LOFGREN’S SYNDROME
title_short CD39<sup>+</sup> EXPRESSION BY REGULATORY T CELLS IN PULMONARY SARCOIDOSIS AND LOFGREN’S SYNDROME
title_full CD39<sup>+</sup> EXPRESSION BY REGULATORY T CELLS IN PULMONARY SARCOIDOSIS AND LOFGREN’S SYNDROME
title_fullStr CD39<sup>+</sup> EXPRESSION BY REGULATORY T CELLS IN PULMONARY SARCOIDOSIS AND LOFGREN’S SYNDROME
title_full_unstemmed CD39<sup>+</sup> EXPRESSION BY REGULATORY T CELLS IN PULMONARY SARCOIDOSIS AND LOFGREN’S SYNDROME
title_sort cd39<sup>+</sup> expression by regulatory t cells in pulmonary sarcoidosis and lofgren’s syndrome
publisher SPb RAACI
publishDate 2019
url https://doaj.org/article/6b7c030954df40b3ba1281b68c28aa24
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