Preliminary research on the expression levels of PD-1 on memory T cells in the peripheral blood from T1DM patients with the development and progression of disease
Objective:Through the detection of the relative abundance of immune negative control molecules programmed cell death protein 1(PD-1) mRNA in T-cell subsets and the PD-1 expression on memory T cells from peripheral blood in type 1 diabetes mellitus(T1DM) patients,type 2 diabetes mellitus(T2DM) patients and healthy control separately,to further study the relationship of abnormal expression of PD-1 on memory T cells with the development and progression of T1DM which is characterized by pancreatic β-cell destruction. Methods:Peripheral blood mononuclear cells(PBMCs)were isolated from health control,T1DM patients,and T2DM patients separately;PBMCs were further sorted into CD4+T cells and CD8+T cells,then the relative abundance of PD-1 mRNA was analyzed by fluorescence quantitative PCR;PBMCs were marked by fluorescent antibody CD4-FITC,CD45RO-PE,CCR7-APC,CD8-FITC and PD-1-PerCp separately,then analyzed the expression of PD-1 on CD4+CD45RO+CCR7+Tcm cells,CD4+CD45RO+CCR7-Tem cells,CD8+CD45RO+CCR7+Tcm cells and CD8+CD45RO+CCR7-Tem cells by flow cytometry(FCM). Results:①The relative abundance of PD-1 mRNA in CD4+T cells from the peripheral blood of the T1DM group was significantly lower than that of the T2DM group and the healthy control group;②There was no abnormality for the relative abundance of PD-1 mRNA in CD8+T cells from the peripheral blood of the T1DM group,compared with the T2DM and healthy control groups;③The expression levels of PD-1 on CD4+CD45RO+CCR7-Tem cells and CD4+CD45RO+CCR7+Tcm cells in the peripheral blood from T1DM patients were significantly lower than those of the healthy control and T2DM group;④There was no significant difference for the expression of PD-1 on CD8+CD45RO+CCR7-Tem cells and CD8+CD45RO+CCR7+Tcm cells between the T1DM group,the T2DM group and the healthy control group. Conclusion:For PD-L1 which is expressed on islet β cells can combine with PD-1 on CD4+Tm cells to negatively regulate cell immunity,so when the expression of PD-1 on CD4+Tm cells is abnormal,cell effect will be further enhanced for the loss of negative regulation,so it may eventually lead to the development of T1DM by destroying islet β cells.