CD28null and Regulatory T Cells Are Substantially Disrupted in Patients with End-Stage Renal Disease Due to Diabetes Mellitus.


Journal

International journal of molecular sciences
ISSN: 1422-0067
Titre abrégé: Int J Mol Sci
Pays: Switzerland
ID NLM: 101092791

Informations de publication

Date de publication:
15 Mar 2021
Historique:
received: 12 02 2021
revised: 05 03 2021
accepted: 12 03 2021
entrez: 3 4 2021
pubmed: 4 4 2021
medline: 1 5 2021
Statut: epublish

Résumé

End-stage renal disease (ESRD) is associated with alterations in T-cell immunity, including increased CD28null and reduced regulatory T cells (Tregs). However, whether immune disturbances are due to ESRD or primary disease is not yet clear. As diabetes mellitus is the leading cause of ESRD, we evaluated its impact on the immune profile of ESRD patients. CD28null, Tregs, and natural killer cells were initially analyzed by flow cytometry in 30 predialysis ESRD patients due to diabetes (DM), 30 non-DM (NDM), and 25 healthy controls. Measurements were repeated after 6 months on hemodialysis (HD) or peritoneal dialysis (CAPD). The percentage of CD4 + CD28null cells, CD8 + CD28null cells, and Tregs showed significant differences in DM, NDM, and controls; mean rank 33.71 vs. 25.68 vs. 18.88, Diabetes mellitus affects T-cell subtypes even at predialysis stage, though changes become more prominent after commencement on HD.

Sections du résumé

BACKGROUND BACKGROUND
End-stage renal disease (ESRD) is associated with alterations in T-cell immunity, including increased CD28null and reduced regulatory T cells (Tregs). However, whether immune disturbances are due to ESRD or primary disease is not yet clear. As diabetes mellitus is the leading cause of ESRD, we evaluated its impact on the immune profile of ESRD patients.
METHODS METHODS
CD28null, Tregs, and natural killer cells were initially analyzed by flow cytometry in 30 predialysis ESRD patients due to diabetes (DM), 30 non-DM (NDM), and 25 healthy controls. Measurements were repeated after 6 months on hemodialysis (HD) or peritoneal dialysis (CAPD).
RESULTS RESULTS
The percentage of CD4 + CD28null cells, CD8 + CD28null cells, and Tregs showed significant differences in DM, NDM, and controls; mean rank 33.71 vs. 25.68 vs. 18.88,
CONCLUSIONS CONCLUSIONS
Diabetes mellitus affects T-cell subtypes even at predialysis stage, though changes become more prominent after commencement on HD.

Identifiants

pubmed: 33804135
pii: ijms22062975
doi: 10.3390/ijms22062975
pmc: PMC8001943
pii:
doi:

Substances chimiques

CD28 Antigens 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Erasmia Sampani (E)

Department of Nephrology, Aristotle University of Thessaloniki, Hippokration Hospital, 56442 Thessaloniki, Greece.

Dimitra-Vasilia Daikidou (DV)

Department of Nephrology, Aristotle University of Thessaloniki, Hippokration Hospital, 56442 Thessaloniki, Greece.

George Lioulios (G)

Department of Nephrology, Aristotle University of Thessaloniki, Hippokration Hospital, 56442 Thessaloniki, Greece.

Aliki Xochelli (A)

National Peripheral Histocompatibility Center, Department of Immunology, Hippokration Hospital, 56442 Thessaloniki, Greece.

Zoi Mitsoglou (Z)

Department of Nephrology, Aristotle University of Thessaloniki, Hippokration Hospital, 56442 Thessaloniki, Greece.

Vasiliki Nikolaidou (V)

National Peripheral Histocompatibility Center, Department of Immunology, Hippokration Hospital, 56442 Thessaloniki, Greece.

Chrysostomos Dimitriadis (C)

Department of Nephrology, Aristotle University of Thessaloniki, Hippokration Hospital, 56442 Thessaloniki, Greece.

Asimina Fylaktou (A)

National Peripheral Histocompatibility Center, Department of Immunology, Hippokration Hospital, 56442 Thessaloniki, Greece.

Aikaterini Papagianni (A)

Department of Nephrology, Aristotle University of Thessaloniki, Hippokration Hospital, 56442 Thessaloniki, Greece.

Maria Stangou (M)

Department of Nephrology, Aristotle University of Thessaloniki, Hippokration Hospital, 56442 Thessaloniki, Greece.

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