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Published on: January 28, 2020
Circulating Th22 and Th9 levels in patients with acute coronary syndrome
Ying-zhong Lin1, Bang-wei Wu2, Zheng-de Lu1
1Department of Cardiology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Insights
New research indicates that Th22 and Th9 cells, types of CD4+ T helper cells, may contribute to acute coronary syndromes (ACS). Increased levels of Th22 and related cytokines were observed in ACS patients, suggesting their involvement in the condition.
Area of Science:
- Immunology
- Cardiovascular Medicine
- Cell Biology
Background:
- CD4+ T helper (Th) cells are crucial in atherosclerosis and acute coronary syndromes (ACS).
- Human Th cell subsets include Th1, Th2, Th17, Th22, and Th9.
- The role of Th22 and Th9 cells in ACS onset requires further investigation.
Purpose of the Study:
- To investigate the involvement of Th22 and Th9 cells in the onset of ACS.
- To compare the frequencies and related molecular markers of Th22 and Th9 cells in different patient groups.
Main Methods:
- Flow cytometry was used to detect Th22 and Th9 cell frequencies.
- Cytokine and transcription factor levels (IL-22, AHR, IL-9, PU.1) were measured.
- Patients with acute myocardial infarction (AMI), unstable angina pectoris (UAP), stable angina pectoris (SAP), and healthy controls were analyzed.
Main Results:
- Peripheral Th22 cell numbers, AHR, and IL-22 levels were significantly elevated in ACS patients (AMI, UAP) compared to SAP and control groups.
- While Th9 cell numbers did not differ, PU.1 expression and IL-9 levels were significantly increased in ACS patients versus SAP and control groups.
- These findings suggest distinct roles for Th22 and Th9 related pathways in ACS.
Conclusions:
- Circulating Th22 and Th9 type responses are implicated in the pathogenesis of ACS symptoms.
- Elevated Th22 and Th9 related markers may serve as potential indicators for ACS.
- Further research is warranted to elucidate the precise mechanisms by which these T cell subsets contribute to ACS.
Background:
CD4+ T helper (Th) cells play critical roles in the development and progression of atherosclerosis and the onset of acute coronary syndromes (ACS, including acute myocardial infarction (AMI) and unstable angina pectoris (UAP)). In addition to Th1, Th2, and Th17 cells, Th22 and Th9 subsets have been identified in humans. In the present study, we investigated whether Th22 cells and Th9 cells are involved in the onset of ACS.
Methods:
The frequencies of Th22 and Th9 cells were detected using a flow cytometric analysis and their related cytokine and transcription factor were measured in the AMI, UAP, stable angina pectoris (SAP), and control groups.
Results:
The results revealed a significant increase in the peripheral Th22 number, AHR expression, and IL-22 levels in patients with ACS compared with those in the SAP and control groups. Although there was no difference in the peripheral Th9 number among the four groups, the PU.1 expression and IL-9 levels were significantly increased in patients with ACS compared with the SAP and control groups.
Conclusions:
Circulating Th22 and Th9 type responses may play a potential role in the onset of ACS symptom.
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