Extensively disturbance of regulatory T cells-Th17 cells balance in stage II pulmonary sarcoidosis
INTERNATIONAL JOURNAL OF MEDICAL SCIENCES
Authors: Ding, Jingjing; Dai, Jinghong; Cai, Hourong; Gao, Qian; Wen, Yanting
Abstract
Background: Sarcoidosis is a systemic inflammatory disorder characterized by granulomas. Not enough evidences correlate the derangement of CD4+ T subsets, which have an impact on the therapeutic effects of corticosteroids, with the radiographical staging of sarcoidosis. Here we show the disturbance of CD4+ T subsets in newly diagnosed stage II pulmonary sarcoidosis, which is the most common stage in which corticosteroids treatment is used. Materials and methods: 39 newly diagnosed and treatment-naive patients and 9 subjects after corticosteroids treatment were included. CD4+ CD45RA+/CD45RO+ cells, CCR4+ CCR6+ cells, and T regulatory cells (Tregs) were tested by Flow Cytometry Analysis. Th1/Th2, Tregs/Th17 related cytokines and mRNAs, SAA and CCL20 were also measured. The activation of PI3K/PTEN/Akt signaling pathway was detected. Results: Percentages of CD4+ CD45RO+ memory T cells and Tregs, serum levels of IL-17A, TGF-beta 1, IL-6, IFN-gamma, IL-10, SAA and CCL20, copies of T-bet, FoxP3, IL-17 and RORc in the periphery were elevated in newly diagnosed stage II pulmonary sarcoidosis patients. Additionally, PI3K/Akt signaling pathway was activated in bronchoalveolar lavage fluid cells. Conclusions: Disturbance of T memory cells, Th1/Th2, and Tregs/Th17 cells, and activation of PI3K/Akt signaling were seen in newly diagnosed stage II pulmonary sarcoidosis, which can be partly ameliorated by corticosteroids treatment.
A Critical Role of PCSK9 in Mediating IL-17-Producing T Cell Responses in Hyperlipidemia
IMMUNE NETWORK
Authors: Kim, Young Uk; Kee, Patrick; Danila, Delia; Teng, Ba-Bie
Abstract
We previously demonstrated that atherogenic Ldlr(-/-)Apobec1(-/-) (LDb) double knockout mice lacking both low-density lipoprotein receptor (LDLR) and apolipoprotein B mRNA-editing catalytic polypeptide-1 (Apobec1) had increased serum IL-17 levels, with T cell programming shifted towards Th17 cells. In this study, we assessed the role of proprotein convertase subtilisin/kexin type 9 (PCSK9) in T cell programming and atherogenesis. We deleted the Pcsk9 gene from LDb mice to generate Ldlr(-/-)Apobec1(-/-)Pcsk9(-/-) (LTp) triple knockout mice. Atherosclerosis in the aortic sinus and aorta were quantitated. Lymphoid cells were analyzed by flow cytometry, ELISA and real-time PCR. Despite of dyslipidemia, LTp mice developed barely detectable atherosclerotic lesions. The IL-17, was very low in plasma and barely detectable in the aortic sinus in the LTp mice. In the spleen, the number of CD4(+)CD8(-) cells and splenocytes were much lower in the LDb mice than LTp mice, whereas, the IL-17-producing cells of gamma delta TCR+ T cells and effector memory CD4(+) T cells (CD44(hi)CD4(+)) in the spleen were significantly higher in the LDb mice than in the LTp mice. The Rorc mRNA expression levels were elevated in LDb mice compared to LTp mice. When re-stimulated with an anti-CD3 Ab, CD44(hi)CD4(+) T cells from LDb mice secreted more IL-17 than those from LTp mice. T cells from LDb mice (with PCSK9) produce more IL-17 at basal and stimulated conditions when compared with LTp mice (without PCSK9). Despite the dyslipidemic profile and the lack of LDLR, atherogenesis is markedly reduced in LTp mice. These results suggest that PCSK9 is associated with changes in T cell programming that contributes to the development of atherosclerosis.