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Updated: Jun 30, 2026

Isolation of CD4+ T-cells and Analysis of Circulating T-follicular Helper (cTfh) Cell Subsets from Peripheral Blood Using 6-color Flow Cytometry
Published on: January 7, 2019
CD4+ CD28 null T cells in coronary artery disease: when helpers become killers
Ingrid E Dumitriu1, Ernesto Trallero Araguás, Christina Baboonian
1Cardiovascular Biology Research Centre, Division of Cardiac and Vascular Sciences, St George's University of London, Cranmer Terrace, London SW17 0RE, UK.
Insights
CD4(+)CD28(null) T cells, an unusual T cell subset, play a detrimental role in coronary artery disease (CAD). Targeting these cells may offer new therapeutic strategies for preventing cardiovascular events.
Area of Science:
- Immunology
- Cardiovascular Medicine
- Cell Biology
Background:
- T cells are crucial in atherosclerosis and coronary artery disease (CAD).
- Helper CD4(+) T cells can influence the atherogenic process, either aggravating or attenuating it.
- CD4(+)CD28(null) T cells represent an atypical subset of helper T cells that expand in CAD and exert harmful effects.
Purpose of the Study:
- To review the generation of CD4(+)CD28(null) T cells.
- To focus on the phenotypic and functional characteristics of CD4(+)CD28(null) T cells relevant to cardiovascular events.
- To explore the impact of current CAD therapies on CD4(+)CD28(null) T cells.
Main Methods:
- Literature review of T cell subsets in CAD.
- Analysis of phenotypic and functional data of CD4(+)CD28(null) T cells.
- Exploration of therapeutic implications for CAD treatment.
Main Results:
- CD4(+)CD28(null) T cells are expanded in CAD and contribute to cardiovascular events.
- These cells possess distinct characteristics that promote atherogenesis.
- Current CAD therapies may have variable effects on this T cell subset.
Conclusions:
- CD4(+)CD28(null) T cells are key players in the pathogenesis of CAD.
- Understanding their role provides insights into disease mechanisms.
- Targeting CD4(+)CD28(null) T cells presents a potential novel therapeutic strategy for CAD.
Abstract:
The crucial role of T cells in atherosclerosis and coronary artery disease (CAD) has been highlighted by recent observations. Helper CD4(+) T cells can both aggravate or attenuate the atherogenic process and the development of CAD. CD4(+)CD28(null) T cells are an unusual subset of helper cells which expand and have deleterious effects in CAD. In this review, we discuss the current issues on the generation of CD4(+)CD28(null) T cells and focus on their phenotypic and functional characteristics relevant to the development of cardiovascular events. The possible effects of the present day therapies for CAD on the CD4(+)CD28(null) T cells are also explored. Targeting the CD4(+)CD28(null) T cell subset in CAD could provide novel therapeutic strategies to prevent acute life-threatening coronary events.
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