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The Expression of Activation Markers CD25 and CD69 Increases during Biologic Treatment of Psoriasis
Michał Adamczyk1, Joanna Bartosińska1,2, Dorota Raczkiewicz3
1Department of Dermatology, Venereology and Pediatric Dermatology, Medical University of Lublin, 20-081 Lublin, Poland.
Insights
Activation markers cluster of differentiation (CD) 69 and CD25 are elevated in psoriasis patients. CD69 expression, particularly, is implicated in the disease and may increase during biologic treatment.
Area of Science:
- Immunology
- Dermatology
- Cell Biology
Background:
- Cluster of differentiation (CD) 69 and CD25 are established lymphocyte activation markers.
- CD69, initially considered an early activation marker, demonstrates immunomodulatory functions.
- Both markers are found on various immune cells, including regulatory T cells and lymphocytes infiltrating inflamed tissues.
Purpose of the Study:
- To investigate the expression of CD69 and CD25 in peripheral blood mononuclear cells (PBMCs) of psoriasis patients.
- To compare marker expression between psoriasis patients and healthy controls.
- To evaluate the impact of biologic drug treatment on CD69 and CD25 levels in psoriasis.
Main Methods:
- Flow cytometry was employed to analyze PBMCs.
- Expression levels of CD69 and CD25 were quantified on different lymphocyte subsets.
- Patient cohorts included individuals with psoriasis (some on biologic therapy) and healthy controls.
Main Results:
- Psoriasis patients exhibited significantly higher CD3/CD69, CD8/CD69, and CD19/CD69 positive PBMCs compared to healthy controls.
- Elevated levels of CD3/CD69, CD4/CD69, CD19/CD69 positive PBMCs, and specific subset expressions (CD3/CD69, CD4/CD69, CD4/CD25, CD19/CD69) were observed in psoriasis patients before biologic therapy.
- Biologic treatment led to a significant increase in several CD69 and CD25 expressing cell populations.
Conclusions:
- The findings support a significant role for activation markers, particularly CD69, in the pathogenesis of psoriasis.
- Further research is needed to elucidate the precise significance of these markers in psoriasis, especially in the context of biologic treatments.
- CD69 and CD25 warrant further investigation as potential biomarkers or therapeutic targets in psoriasis management.
Abstract:
CD (cluster of differentiation) 69 and CD25 are considered early and late markers of the activation of lymphocytes, respectively. CD25 is a part of the IL-2 receptor and is present on the surface of immune and non-immune cells, with high amounts on activated lymphocytes and regulatory T cells. CD69 is expressed on various types of white blood cells, including newly activated lymphocytes, lymphocytes infiltrating tissues isolated from subjects with chronic auto-inflammatory diseases, several subtypes of memory T cells and regulatory T cells. Primarily, CD69 was considered to be an early marker of the activation of lymphocytes, but, right now, data derived from in vitro and in vivo studies have revealed the immunomodulatory role of this surface antigen. In 84 patients with psoriasis, of whom 28 were treated with different biologic drugs, as well as in 29 healthy control subjects, the expression of CD25 and CD69 on different subtypes of peripheral blood mononuclear cells (PBMCs) was studied with the use of flow cytometry. Significantly higher levels of CD3/CD69-, CD8/CD69- and CD19/CD69-positive PBMCs as well as within CD3+ cells were present in subjects suffering from psoriasis when compared to healthy controls. In patients with psoriasis who were treated with biologic drugs, the levels of CD3/CD69-, CD4/CD69- and CD19/CD69-positive PBMCs, and CD3/CD69 within CD3+ cells, CD4/CD69 within CD4+ cells, CD4/CD25 within CD4+ cells and CD19/CD69 within CD19+ cells were significantly higher than before therapy. Our results support a role for activation markers, especially CD69, in psoriasis. Further research is warranted to fully clarify their significance in this common dermatosis, especially during biologic treatment.
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