糖尿病患者外周血FOXP3+调节性T细胞的检测及其临床意义
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国家自然科学基金(81070622);江苏省自然科学基金(BK2008444);南京市科技发展项目(009010684);江苏六大人才高峰项目(2010-022)


Percentages of FOXP3+ regulatory T cells in patients with diabetes
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    摘要:

    目的:探讨不同类型糖尿病患者外周血FOXP3+调节性T细胞表达的差异及其临床意义-方法:研究分为1型糖尿病组(n = 43)-2型糖尿病组(n = 16)和健康对照组(n = 19)-采用放射配体法检测糖尿病患者外周血中自身抗体:锌转运体8蛋白抗体(zinc transporter 8 antibody,ZnT8A)-谷氨酸脱羧酶抗体(glutamic acid decarboxylase antibody,GADA)和胰岛细胞抗体(islet cell antibody,ICA)-采用细胞膜打孔和三色荧光标记流式细胞术检测外周血CD4+T细胞群中CD4+CD25+FOXP3+T细胞所占百分比-CD4+CD25+T细胞所占百分比-结果:①1型和2型糖尿病患者的外周血中CD4+CD25+T细胞占CD4+T淋巴细胞的百分比均低于健康志愿者,差异有统计学意义(P < 0.05);②1型糖尿病患者的外周血中CD4+CD25+FOXP3+T细胞占CD4+T淋巴细胞的百分比低于健康志愿者和2型糖尿病患者,差异有统计学意义(P < 0.05);③1型糖尿病患者的病程与外周血CD4+CD25+FOXP3+T细胞数量-CD4+CD25+T细胞数量均无相关性-结论:1型糖尿病患者外周血FOXP3+调节性T细胞百分比下降,FOXP3+调节性T细胞数量的下降程度与病程无关-FOXP3+调节性T细胞可能参与了1型糖尿病的发生和发展,与2型糖尿病无显著相关性-FOXP3是调节性T细胞的特征性标志-

    Abstract:

    Objective: To analyze the percentage of FOXP3+ regulatory T cells in peripheral blood from patients with diabetes of different types. Methods: Three groups were included:type 1 diabetes(n = 43 cases),type 2 diabetes(n = 16 cases) and healthy control (n = 19 cases). Zinc transporter 8 antibody (ZnT8A),glutamic acid decarboxylase antibody (GADA) and islet cell antibody (ICA) were detected by radioligand binding assay. The proportions of regulatory T cells,CD4+CD25+FOXP3+T cells and CD4+CD25+T cells,in peripheral blood were determined by flow cytometry. Results: ① In the peripheral blood,the percentages of CD4+CD25+T cells in CD4+T lymphocytes from patients with type 1 diabetes or type 2 diabetes were lower than those of healthy control;② In the peripheral blood,patients with type 1 diabetes showed lower ratio of CD4+ CD25+ FOXP3+ T cells compared with healthy control and patients with type 2 diabetes;③ There was no significant correlation between the duration of diabetes and the percentage of peripheral CD4+CD25+FOXP3+ regulatory T cells or CD4+CD25+T cells. Conclusion: In the peripheral blood,the FOXP3+ regulatory T cells population was deficiency in patients with type 1 diabetes. Type 2 diabetes had small influence in the percentage of FOXP3+ regulatory T cells. There was no significant relationship between the percentage of FOXP3+ regulatory T cells and duration of type 1 diabetes.

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张小娇,孔璐璐,顾 榕,陈 恒,许馨予,徐宽枫,王知笑,杨 涛,张 梅.糖尿病患者外周血FOXP3+调节性T细胞的检测及其临床意义[J].南京医科大学学报(自然科学版),2012,(4):509-513

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  • 收稿日期:2011-12-23
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