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Published on: May 29, 2020
Expression and Significance of Th17 Cells and Related Factors in Patients with Autoimmune Hepatitis
1Department of Infectious Diseases, Inner Mongolia People's Hospital, Inner Mongolia 010017, China.
Insights
Increased Th17 cells and related factors like IL-17 and TNF-α are linked to liver damage in Autoimmune Hepatitis (AIH) patients. These markers may help monitor disease severity.
Area of Science:
- Immunology
- Hepatology
- Autoimmune Diseases
Background:
- Autoimmune Hepatitis (AIH) is a chronic liver disease characterized by immune system attack on liver cells.
- T helper 17 (Th17) cells and regulatory T (Treg) cells play crucial roles in immune regulation and are implicated in autoimmune conditions.
Purpose of the Study:
- To investigate the expression of Th17 cells and associated cytokines in the peripheral blood of AIH patients.
- To determine the clinical significance of Th17 cells and related factors in monitoring AIH disease activity and liver damage.
Main Methods:
- A retrospective study included 100 AIH patients and 100 healthy controls.
- Enzyme-linked immunosorbent assay (ELISA) measured serum levels of IL-17, IL-6, IL-21, and TNF-α.
- Flow cytometry assessed the frequency of Th17 and Treg cells in peripheral blood.
Main Results:
- AIH patients exhibited significantly higher serum levels of liver enzymes (ALT, AST) and inflammatory cytokines (IL-17, IL-6, IL-21, TNF-α) compared to controls.
- A higher frequency of Th17 cells and a lower frequency of Treg cells were observed in AIH patients.
- Serum IL-17, TNF-α levels, and Th17 cell frequency positively correlated with liver damage markers (ALT, AST), while Treg cell frequency showed a negative correlation.
Conclusions:
- Th17 cell frequency and associated factors (IL-17, TNF-α) are significantly elevated in AIH patients.
- These findings suggest that Th17 cell-related pathways are involved in the pathogenesis of liver damage in AIH.
- Th17 cell frequency and related cytokines may serve as potential biomarkers for monitoring AIH disease severity.
Objective:
This study aims to investigate the expression and clinical significance of Th17 cells and related factors in peripheral blood of patients with Autoimmune Hepatitis (AIH).
Methods:
A retrospective selection of 100 patients with AIH were included as a study group, and 100 healthy volunteers in the outpatient clinic were selected as the control group. The levels of IL- 17, IL-6, IL-21 and TNF-α in peripheral blood of all subjects were detected by enzyme-linked immunosorbent assay and the frequency of Th17 cells and Treg cells was detected by flow cytometry.
Results:
Results showed that the study group had higher levels of serum total bilirubin (TBil), alkaline phosphatase (ALP), γ -glutamyltranspeptidase (γ-GT), immunoglobulin G (IgG), immunoglobulin M (IgM), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) than the control group, as well as higher levels of IL-17, IL-6, IL-21 and TNF-α in serum. The frequency of Th17 cells in peripheral blood was higher in the study group, while the frequency of Treg cells was lower. Also, serum IL-17, TNF-α levels and Th17 cells frequency were positively correlated with ALT and AST, whereas Treg cells frequency were negatively correlated with ALT and AST levels.
Conclusion:
Our finding demonstrates that Th17 cell frequency and their related factors IL-17 and TNF-α, are associated with liver damage, which might be used to monitor AIH disease severity.
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