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Updated: Jun 21, 2026

Isolation of Tonsillar Mononuclear Cells to Study Ex Vivo Innate Immune Responses in a Human Mucosal Lymphoid Tissue
Published on: June 14, 2020
[Peripheral T cell subsets in chronic tonsillitis patients]
Rong Luo1, Weijia Kong, Xiang Huang
1Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Insights
Chronic tonsillitis patients exhibit immune dysregulation in peripheral blood, with altered T lymphocyte subsets. These findings may aid in assessing disease progression and clinical implications.
Area of Science:
- Immunology
- Clinical Medicine
- Hematology
Background:
- Chronic tonsillitis is a persistent inflammatory condition affecting the tonsils.
- Understanding the immune status in chronic tonsillitis is crucial for effective management.
- T lymphocyte subsets play a key role in immune responses and disease pathogenesis.
Purpose of the Study:
- To investigate the characteristics of T lymphocyte subsets in patients with chronic tonsillitis.
- To evaluate the clinical implications of these T cell subset alterations.
- To correlate immune cell profiles with clinical markers in chronic tonsillitis.
Main Methods:
- Flow cytometry was used to analyze various T lymphocyte subsets (CD4+, CD8+, naive, memory, activated, apoptotic) in peripheral blood.
- Samples were collected from 54 chronic tonsillitis patients and 52 healthy controls.
- Clinical data including serum Cystatin C, ASO, and ESR were recorded for patients.
Main Results:
- Chronic tonsillitis patients showed significantly lower CD4+ T cells, CD4+/CD8+ ratio, and naive T cells (CD45RA+).
- An increased percentage of memory (CD45RO+) and apoptotic (CD95+) T lymphocytes were observed in patients.
- Serum Cystatin C levels negatively correlated with CD4+ CD45RA+ T cells in patients.
Conclusions:
- Peripheral blood T lymphocyte subset analysis reveals immune dysregulation in chronic tonsillitis.
- The observed immune alterations may serve as indicators for disease progression.
- These findings offer valuable insights for the clinical evaluation of chronic tonsillitis patients.
Objective:
To investigate the characteristics of T lymphocytic subsets in chronic tonsillitis patients for evaluation of their clinical implication.
Method:
Fresh peripheral blood samples were obtained from 54 chronic tonsillitis patients and 52 healthy counterparts. CD4+ and CD8+ T lymphocyte subsets including the naive (CD45RA+), memory (CD45RO+), functional (CD28+), activated (HLA-DR+, CD25+) and apoptosis (CD95+) T lymphocytes, were analyzed by flow cytometry, respectively. The clinical data such as serum Cystatin C con centration, ASO and ESR were simultaneously recorded from each chronic tonsillitis patient.
Result:
The CD4+ T cells, the rate of CD4+/CD8+ and CD4+ CD45RA+ /CD4+ CD45RO+, the CD4+ CD45RA+ T cells and the CD4+ CD25+ T cells in chronic tonsillitis were significantly lower than those of the control group (P < 0.05) while an obviously increasing percentage of memory (CD45RO+) and apoptosis (CD95+) T lymphocytes in chronic tonsillitis patients, and there were significant differences between the patients with chronic tonsillitis and the healthy volunteers (P < 0.05). Furthermore, in the chronic tonsillitis patients, Serum Cystatin C level was negatively correlated with CD4+ CD45RA+ T(P < 0.05), and not significantly correlated with other T lymphocyte subtypes (P > 0.05).
Conclusion:
Immune disorder is present in the peripheral blood of chronic tonsillitis patients. Our data may provide valuable information for evaluation of disease progression of chronic tonsillitis patients.
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