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Characterization of FOXP3+CD4+ regulatory T cells in Crohn's disease.

机译:克罗恩病中FOXP3 + CD4 +调节性T细胞的表征。

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FOXP3(+)CD4(+) regulatory T cells (T(R)) have emerged as important regulators of immune responses. The aim of our study was to assess the frequency and functional characteristics of FOXP3(+)CD4(+) T(R) in Crohn's disease (CD). We report that FOXP3(+)CD4(+) T(R) cells are expanded in mucosal lymphoid tissues (lamina propria and MLN) but are decreased in the PB in active CD. Patients treated with thiopurines, but not steroids or anti-TNF-alpha inhibitors, have a lower frequency of PB FOXP3(+)CD4(+) T(R) (7.8+/-2.4% vs. 9.9+/-1.8%, p=0.01). FOXP3(+) cells were localized in the lamina propria (LP), muscularis mucosa and serosa and accumulated in granulomas, whereas in MLN they localize in the T cell rich areas. MLN CD4(+)CD25(+) T cells from both CD and normal intestine efficiently suppress the proliferation of effector CD4(+)CD25(-) T cells. T cell activation of MLN in vitro with anti-CD3 plus anti-CD28 Abs enhances the expression of FOXP3, both at the protein and transcriptional level, which is further enhanced by the addition of TGF-beta. In summary, there is an expansion of FOXP3(+)CD4(+) T(R) cells in mucosal lymphoid tissues in CD; they accumulate in areas of active inflammation, including granulomas and retain potent regulatory activity ex vivo.
机译:FOXP3(+)CD4(+)调节性T细胞(T(R))已成为免疫反应的重要调节剂。我们研究的目的是评估在克罗恩病(CD)中FOXP3(+)CD4(+)T(R)的频率和功能特征。我们报告说,FOXP3(+)CD4(+)T(R)细胞在粘膜淋巴组织(固有层和MLN)中扩展,但在活性CD中的PB中降低。使用硫嘌呤而非类固醇或抗TNF-α抑制剂治疗的患者出现PB FOXP3(+)CD4(+)T(R)的频率较低(7.8 +/- 2.4%比9.9 +/- 1.8%, p = 0.01)。 FOXP3(+)细胞位于固有层(LP),肌层粘膜和浆膜中,并在肉芽肿中积累,而在MLN中,它们位于T细胞富集区域。来自CD和正常肠道的MLN CD4(+)CD25(+)T细胞可有效抑制效应CD4(+)CD25(-)T细胞的增殖。体外用抗CD3和抗CD28 Abs激活MLN的T细胞可增强FOXP3在蛋白质和转录水平上的表达,并通过添加TGF-beta进一步增强。总之,在CD的粘膜淋巴组织中存在FOXP3(+)CD4(+)T(R)细胞的扩增。它们积聚在包括肉芽肿在内的活跃炎症区域,并在体外保持有效的调节活性。

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