重症肌无力胸腺基质淋巴细胞生成素表达与CD4^+CD25^+Foxp3^+Treg细胞表型的研究  

The investigation of expression level of TSLP in thymus and the phenotype of CD4^+CD25^+Foxp3^+ Treg cells in patients with myasthenia gravis

作　　者：孙延鹏[1] 卢祖能[2] 孙强[1] 杨超[2] 王云甫[1] 

机构地区：[1]湖北医药学院附属太和医院神经内科,442000 [2]武汉大学人民医院神经内科,430060

出　　处：《中国神经免疫学和神经病学杂志》2012年第6期439-443,共5页Chinese Journal of Neuroimmunology and Neurology

基　　金：湖北省自然科学基金资助项目(2010CDBO9103);湖北省教育厅重点项目(D20122403)

摘　　要：目的探索重症肌无力患者胸腺基质淋巴细胞生成素(TSLP)表达水平与CD4+CD25+Foxp3+调节性T细胞(Treg)表型的相关性。方法 MG组(16例经胸腺切除的MG患者)及对照组(23例先天性心脏病心脏手术后患者)取外周血单个核细胞,经CD4+CD25+抗体表面染色后加入破膜剂孵育,以Foxp3+抗体行胞内染色,以流式细胞技术检测CD4+CD25+Foxp3+Treg/CD4+T细胞比率;同时取两组患者对应的切除胸腺组织,以免疫组织化学法检测TSLP表达水平,并进行两组间比较;以Logistic回归分析方法分析TSLP阳性表达的Hassall小体计数与Treg细胞之间的相关性。结果CD4+CD25+/CD4+T细胞比率MG组〔(6.24±0.62)%〕与对照组〔(6.56±0.65)%〕无统计学差异(P>0.05),MG组CD4+CD25+Foxp3+Treg/CD4+T细胞比率〔(3.82±0.49)%〕较对照组〔(5.73±0.56)%〕明显降低(P<0.01);与对照组比较,MG组患者胸腺TSLP阳性面积大,染色深,且TSLP阳性的Hassall小体数目(6.81±2.17)明显低于对照组(18.87±3.06)(P<0.01)。MG组TSLP阳性表达的Hassall小体计数与Treg细胞表达量之间呈线性相关(R2=0.158,F=13.42,P<0.01)。结论 MG患者TSLP表达不足与胸腺Treg细胞发育过程中CD4+CD25+Foxp3+表型的表达缺陷呈正相关。Objective To investigate the correlation between expression level of thymic stromal lymphopoietin （TSLP） in thymus and the expression of CD4＋ CD25＋ Foxp3＋ Treg cells in patients with myasthenia gravis （MG）. Methods The ratio of CD4＋ CD25＋ Foxp3＋ Treg/CD4＋ T ceil were tested by flow cytometry from peripheral blood mononuclear cell which has been dealt with CD4＋ CD25＋ antibody on the surface of the cell and Foxp3＋ antibody into the cell in 16 patients with MG and 23 patients with congenital heart disease （control group）. At the same time, thymuses cut from the corresponding patients were obtained to count the amount of TSLP positive Hassell corpuscles, the amount of TSLP positive Hassell corpuscles was compared between the two groups. The correlation between the amount of TSLP positive Hassall＇s corpuscles and CD4＋ CD25＋ Foxp3＋ Treg cells expression was analyzed by logistic regression test. Results There was no statistical difference of the ratio of CD4＋ CD25＋ T/CD4＋ T cells between the MG group [ （6.24 ± 0.62）%] and the control group [ （6.56±0.65） %] （P〉0.05）, but the ratio of CD4＋ CD25＋ Foxp3＋ Treg/CD4＋ T cells in MG group [ （6.24±0.62）%] was significantly lower than that in the control group [ （5.73±0.56）%] （P〈0.01）. The number of TSLP positive Hassell corpuscles in MG group was significantly fewer than that in the control group （6.81±2.17 versus 18.87±3.06, P〈0.01）. The logistic regression analysis demonstrated that the expression of TSLP in the MG groups was linear related with the expression of Treg cells （R2 =0. 158, F= 13.42, P〈0.01）. Conclusions The inadequate expression of TSLP is positively related to phenotype defiiency of the CD4＋ CD25＋ Foxp3＋ during Treg cell growth.

关 键 词：重症肌无力 胸腺基质淋巴细胞生成素 调节性T细胞 免疫耐受 

分 类 号：R746.1[医药卫生—神经病学与精神病学]