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Isolation and Th17 Differentiation of Naïve CD4 T Lymphocytes
Published on: September 26, 2013
Abnormal differentiation of memory T cells in systemic lupus erythematosus
Ruth D Fritsch1, Xinglei Shen, Gabor G Illei
1NIAMS, NIH, Building 10, Room 6D47C, 9000 Rockville Pike, Bethesda, MD 20892, USA.
Insights
Systemic lupus erythematosus (SLE) patients exhibit accelerated T cell differentiation, leading to an accumulation of terminally differentiated CD4 memory T cells. These cells show reduced proliferation and increased apoptosis, indicating immune dysregulation in SLE.
Area of Science:
- Immunology
- Cell Biology
- Autoimmune Diseases
Background:
- CD4 memory T cell differentiation is characterized by distinct maturational stages defined by CCR7 and CD27 expression in healthy individuals.
- Understanding T cell differentiation is crucial for deciphering immune dysregulation in autoimmune diseases like SLE.
Purpose of the Study:
- To investigate maturational disturbances in CD4 T cell differentiation in systemic lupus erythematosus (SLE) using CCR7 and CD27 markers.
- To analyze the functional consequences of altered T cell differentiation in SLE.
Main Methods:
- Phenotypic analysis using flow cytometry.
- In vitro stimulation experiments.
- Telomere length measurement and inducible telomerase determination.
Main Results:
- SLE patients showed an altered distribution of CD4 memory T cell subsets, with an increase in terminally differentiated cells (CCR7-, CD27- and CCR7-, CD27+) and a decrease in less differentiated cells (CCR7+, CD27+).
- In vitro studies revealed stepwise differentiation in SLE T cells, with progressive decreases in telomere length and inducible telomerase.
- Terminally differentiated CD4 T cells in SLE exhibited reduced proliferative capacity and increased apoptosis compared to healthy controls.
Conclusions:
- Data suggest heightened in vivo T cell stimulation in SLE.
- This leads to an accumulation of terminally differentiated memory T cells with impaired function.
- These findings highlight a potential mechanism for immune dysregulation in SLE pathogenesis.
Objective:
The chemokine receptor CCR7 and the tumor necrosis factor receptor family member CD27 define 3 distinct, progressively more differentiated maturational stages of CD4 memory subpopulations in healthy individuals: the CCR7+, CD27+, the CCR7-, CD27+, and the CCR7-, CD27- populations. The goal of this study was to examine maturational disturbances in CD4 T cell differentiation in systemic lupus erythematosus (SLE), using these phenotypic markers.
Methods:
Phenotypic analysis by flow cytometry, in vitro stimulation experiments, telomere length measurement, and determination of inducible telomerase were carried out. RESULTS. In SLE patients, significant increases of CCR7-, CD27- and CCR7-, CD27+ and a reduction of CCR7+, CD27+ CD4 memory T cells were found. In vitro stimulation of SLE T cells showed a stepwise differentiation from naive to CCR7+, CD27+ to CCR7-, CD27+ to CCR7-, CD27-; telomere length and inducible telomerase decreased in these subsets in the same progressive sequence. The in vitro proliferative response of these populations progressively declined as their susceptibility to apoptosis increased. Interestingly, a significant reduction in inducible telomerase was noted in SLE naive and CCR7+, CD27+ CD4+ memory T cells. Additionally, SLE CCR7-, CD27+ and CCR7-, CD27- CD4 memory T cells proliferated poorly in response to in vitro stimulation and underwent significantly more apoptosis than their normal counterparts. Finally, expression of CXCR4 was significantly reduced in all SLE subsets compared with normal.
Conclusion:
Together these data indicate an increased degree of in vivo T cell stimulation in SLE, resulting in the accumulation of terminally differentiated memory T cells with a decreased proliferative capacity and an increased tendency to undergo apoptosis upon stimulation.
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