急性冠脉综合症患者胸腺新近输出cd4 cd25 foxp3 调节性t细胞的检测及意义-detection and significance of cd4 cd25 foxp 3 regulatory t cells newly exported from thymus in patients with acute coronary syndrome.docx
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急性冠脉综合症患者胸腺新近输出cd4 cd25 foxp3 调节性t细胞的检测及意义-detection and significance of cd4 cd25 foxp 3 regulatory t cells newly exported from thymus in patients with acute coronary syndrome
TREC的数量为(894.17±415.127/106),亦明显低于SA组 (1513.12±568.993/106, P=0.001)和HCs 组(1606.00± 497.720/106, P0.001)。而 SA组和HCs组间差异均无统计学意义 (P=0.106 和 P=0.566) 。患者 CD31+CD45RA+CD4+CD25+FOXP3+ 调节性 T 细胞比例与 CD4+CD25+CD127dim/-调节性T细胞中TREC的数量呈正相关(r=0.493, P=0.014)。实验结论 急性冠状动脉综合征患者胸腺新近输出 CD4+CD25+FOXP3+调节性 T 细胞减少可能是外周血 CD4+CD25+FOXP3+调节性 T 细胞数量减少和功能受损的原 因,亦可能是急性冠脉综合症的发生发展的原因。关键词 急性冠脉综合症;CD4+CD25+FOXP3+调节性 T 细胞;胸腺新近输出;CD31;CD45RA;T 细胞删除环SignificanceoftheChangeofRecentThymic Emigrants CD4+ CD25+ FOXP3+ RegulatoryT Cells in Acute Coronary SyndromesPostgraduate Candidate: Ma Xuming Director: Li Da-zhuAbstractObjective: The numbers and suppressive function of CD4+CD25+FOXP3+ regulatory T cells (Treg) are impaired in patients with acute coronary syndromes (ACS). However, the mechanism underlying this phenomenon is unknown. Therefore, the aim of this study was to investigate whether recent thymic emigrants (RTE) Treg (RTE-Treg) contribute to the reduction of number and suppressive deficiency in Treg.Methods: 77 Subjects were divided into three groups: acute coronary syndromes (ACS, n=28), stable angina pectoris (SA, n=25) and healthy controls (HCs, n=24). Peripheral blood mononuclear cells (PBMC) were isolated by density gradientcentrifugation. We determined that express CD31+ combined CD45RA+ as recent thymicemigrant typical surface marker. The frequencies of CD31+CD45RA+CD4+CD25+FOXP3+ Regulatory T Cells (Treg) in peripheral blood were detected by flow cytometry. Meanwhile, we assess number of T-cell receptor excision circles (TREC) in Treg by real-time quantitative PCR to further investigate recent thymic emigrants CD25+FOXP3+Regulatory T Cells in patients with ACS.Results: Frequencies of CD31+CD45RA+ Treg are reduced in the peripheral blood of ACS patients (ACS vs SA, P=0.003 and ACS vs HCs P0.001). TREC numbers in Treg are reduced in the peripheral blood of ACS patients (ACS vs SA, P=0.001 and ACS vs HCs,P0.001). Meanwhile, frequencies of CD31+CD45RA+ Treg and TREC numbers in
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