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CD4+T Cell Subset Profiling in Biliary Atresia Reveals ICOS- Regulatory T Cells as a Favorable Prognostic Factor.


ABSTRACT: Biliary atresia (BA) is a destructive pediatric liver disease and CD4+T cell activation is demonstrated to play an important role in BA. However, a comprehensive scenario regarding the involvement of CD4+T cell subsets to the development of BA remains unclear. Here, we aim to explore the infiltration of CD4+T cell subsets and their clinical significance in BA. In the present study, thirty BA liver samples were collected during surgery and were divided into good (BA1, n = 16) and poor prognosis (BA2, n = 14), with samples from choledochal cyst patients (n = 8) as control. By using multiplex immunohistochemistry, we evaluated the infiltration level of CD4+T cell subsets in the portal areas. RT-qPCR and flow cytometry were further applied to explore detailed features of Treg subsets. We revealed that hepatic infiltrating Th1, Th2, Th17, and ICOS+Treg cells were significantly increased in BA patients compared to controls and were negatively associated with prognosis, while high infiltrating ICOS-Tregs showed a favorable outcome. Phenotypic analysis indicated that, in contrast to ICOS+Tregs, ICOS-Tregs were mainly CD45RAhiCD45ROlow, and preferentially expressed more CD73. Besides, RT-qPCR revealed elevated expression of CD25, CD73, TGF-?, and BCL-2 genes in ICOS-Tregs. Finally, functional assay confirmed that ICOS-Tregs had a higher suppressive capacity to cytokine secretion and were more resistant to apoptosis in vitro. Collectively, we demonstrate that a mixed immune response is involved in BA pathogenesis, and the globally enhanced effector CD4+T cell response is associated with unfavorable prognosis, highly suppressive ICOS-Tregs is a protective factor and may serve an important reference to predict prognosis.

SUBMITTER: Zhang S 

PROVIDER: S-EPMC6637302 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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CD4<sup>+</sup>T Cell Subset Profiling in Biliary Atresia Reveals ICOS<sup>-</sup> Regulatory T Cells as a Favorable Prognostic Factor.

Zhang Shuhao S   Goswami Shyamal S   Ma Jiaqiang J   Meng Lu L   Wang Youping Y   Zhu Fangming F   Zhang Dandan D   Zheng Shan S   Dong Rui R   Xiao Xianmin X   Zhang Xiaoming X   Chen Gong G  

Frontiers in pediatrics 20190709


Biliary atresia (BA) is a destructive pediatric liver disease and CD4<sup>+</sup>T cell activation is demonstrated to play an important role in BA. However, a comprehensive scenario regarding the involvement of CD4<sup>+</sup>T cell subsets to the development of BA remains unclear. Here, we aim to explore the infiltration of CD4<sup>+</sup>T cell subsets and their clinical significance in BA. In the present study, thirty BA liver samples were collected during surgery and were divided into good (  ...[more]

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