REGULATORY TSCELLS WITH SUPPRESSIVE ACTIVITY IN SURGICAL SEPSIS
https://doi.org/10.15789/1563-0625-2006-1-51-60
Abstract
Abstract. Present work aims to investigate functioning of the regulatory T-cells with suppressor activity in surgical sepsis. It has been shown that the septic patients with decreased T cell proliferation are characterized by enhanced relative contents of СD4+СD25+ lymphocytes, including СD4-CD25high. Moreover, a reverse correlation has been revealed between СD4+CD25+high and anti-CD3-induced proliferative response of mononuclear cells (MNC).
Increased ratio of СD4+СD25+ cells is associated with arising suppressive activity of MNC, which is partially abrogated by addition of rIL-2. It should be noted that the depletion of CD25+ subpopulation is accompanied by increased T cell proliferation. Hence, a decrease in T cell proliferative activity in surgical sepsis is coupled with naturally occurring СD4+СD25+ regulatory T-cells (Trn).
Furthermore, it has been demonstrated that the suppressive activity of MNCs in septic patients is mediated by soluble factors, in particular, IL-10. Indeed, septic patients are characterized by increased level of IL-10 production and enhanced number of CD4+IL-10+ T-cells. Addition of neutralizing anti-IL-10 antibody partially abrogated the suppressive activity of MNC supernatants. Thus, our study demonstrated that inducible regulatory T cells (Tr1) coupled to the naturally occurring СD4+СD25+ regulatory T-cells (Trn) actively contribute to genesis of immune pathology in sepsis.
About the Authors
E. V. KurganovaRussian Federation
M. A. Tikhonova
Russian Federation
E. I. Streltzova
Russian Federation
A. A. Ostanin
Russian Federation
E. R. Chernykh
Russian Federation
V. A. Kozlov
Russian Federation
References
1. Норкин М.Н., Леплина О.Ю., Тихонова М.А., Тюрин И.Н., Останин А.А., Черных Е.Р. Роль апоптоза и анергии Т-клеток в патогенезе гнойно-септических заболеваний // Медицинская иммунология.- 2000.- Т. 2, № 1.- С. 35-42.
2. Черных Е.Р., Норкин М.Н., Леплина О.Ю., Тихонова М.А., Хонина Н.А., Останин А.А. Апоптоз и анергия периферических Т-лимфоцитов при гнойно-септической патологии. // Медицинская иммунология.- 1999.- Т. 1, № 5.- С. 45-51.
3. Черных Е.Р., Леплина О.Ю., Тихонова М.А., Курганова Е.В., Стрельцова Е.И., Останин А.А., Козлов В.А. Феномен Т-клеточной анергии при хирургическом сепсисе. // Медицинская иммунология. - 2003.- Т.- 5, № 6.- С. 529-538.
4. Astiz M., Saha D., Lustbader D., Lin R., Rackow E. Monocyte response to bacterial toxins, expression of cell surface receptors, and release of anti-inflammatory cytokines during sepsis. // J. Lab. Clin. Med.- 1996.- Vol. 128, № 6.- P. 594-600.
5. Ayala A., Deol Z.K., Lehman D.L., Herdon C.D., Chaudry I.H. Polymicrobial sepsis but not low-dose endotoxin infusion causes decreased splenocyte IL-2/ IFN-γ release while increasing IL-4/IL-10 production..// J. Surg. Res.- 1994.- Vol. 56.- P. 579–585.
6. Baecher-Allan C., Brown J.A., Freeman G.J., Hafler D.A. CD4+CD25high regulatory cells in human peripheral blood. // J. Immunology.- 2001.- Vol. 167.- P. 1245-1253.
7. Baecher-Allan C., Hafler D.A. Suppressor T cells in human diseases. // J. Exp. Med.- 2004.- Vol. 200, № 3.- P. 273-276.
8. Chernykh H.R., Norkin M.N., Leplina O.Yu., Khonina N.A., Tihonova M.A., Ostanin A.A. Peripher- al T cell apoptosis and its role in generalized bacterial infection (mini-review) // Russian J. Immunology.- 2001.- Vol. 6, № 2.- P. 131-146.
9. Dieckmann D., Ploettner H., Berchtold S., Berger T., Schuler G. Ex vivo isolation and characterization of CD4+CD25+ T cells with regulatory properties from human blood. // J. Exp. Med.- 2001.- Vol. 193, № 11.- P. 1303-1310.
10. Dieckmann D., Bruett C.H., Ploettner H., Lutz M.B., Schuler G. Human CD4+CD25+ regulatory, contact-dependent T cells induce interleukin 10-producing, contact-independent type 1-like regulatory T cells. // J. Exp. Med.- 2002.- Vol. 196, № 2.- P. 247-253.
11. Ermann J., Szanya V., Ford G.S., Paragas V., Fathman C.G., Lejon K. CD4+CD25+ T cells facilitate the induction of T cell anergy. // J. Immunology.- 2001.- Vol. 167, № 8. – P. 4271 - 4275.
12. Fehervari Z., Sakaguchi S. CD4- Tregs and immune control. // J. Clin. Invest.- 2004.- Vol. 114, № 9.- P. 1209-1216.
13. Heidecke C.D., Hensler T., Weighardt H., Zantl N., Wagner H., Siewert J.R., Holzmann B. Selective defects of T lymphocyte function in patients with lethal intraabdominal infection. // Am. J. Surg.- 1999.- Vol. 178.-P. 288-292.
14. Jonuleit H., Schmitt E., Schuler G., Knop J., Enk A.H. Induction of interleukin 10-producing, nonproliferating CD4- T cells with regulatory properties by repetitive stimulation with allogeneic immature human dendritic cells. // J. Exp. Med.- 2000.- Vol. 192.- P. 1213-1222.
15. Jonuleit H., Schmitt E., Stassen M., Tuerrenberg A., Knop J., Enk A.H. Identification and functional characterization of human CD4+CD25+ T cells with regulatory properties isolated from peripheral blood. // J. Exp. Med.- 2001.- Vol. 193, № 11.- P. 1285-1294.
16. Jonuleit H., Schmitt E., Kakirman H., Stassen M., Knop J., Enk A.H. Infectious tolerance: human CD25- regulatory T cells convey suppressor activity to conventional CD4- T helper cells. // J. Exp. Med.- 2002.- Vol. 196, №2.- P. 255-260.
17. Jonuleit H., Schmitt E. The regulatory T cell family: distinct subsets and their interrelations. // J. Immunology.- 2003.- Vol. 164.- P. 6323-6327.
18. Karim M., Kingsley C.I., Bushell A.R., Sawitzki B.S., Wood K.J. Alloantigen-induced CD25-CD4- regulatory T cells can develop in vivo from CD25-CD4- precursors in a thymus-independent process. // J. Immunology.- 2004.- Vol. 172.- P. 923-928.
19. Lehmann J., Huehn J., de la Rossa M., Maszyna F., Kretschemer U., Krenn V., Brunner M., Scheffold A., Hamann A. Expression of the integrin αEβ7 identifies unique subsets of CD25- as well as CD25- regulatory T cells. // Proc. Natl. Acad. Sci. USA.- 2002.- Vol. 99.- P. 13031-13036.
20. Levings M.K., Roncarolo M.G. T-regulatory 1 cells: a novel subset of CD4 T cells with immunoregulatory properties. // J. Allergy Clin. Immunol.- 2000.- Vol. 106.- P. 109–112.
21. Levings M.K., Sangregorio R., Sartirana C., Moschin A.L., Battaglia M., Orban P.C., Roncarolo M.G. Human CD4+CD25+ T suppressor cell clones produce transforming growth factor β, but not Il-10, and are distinct from type 1 T regulatory cells. // J. Exp. Med.- 2002.- Vol. 196, № 10.- P. 1335–1346.
22. Maloy K.J., Powrie F. Regulatory T cells in the control of immune pathology. // Nature.- 2001.- Vol. 2, № 9.- P. 816-822.
23. Mittrьcker H.-W., Kaufmann S.H.E. Regulatory T cells and infection: suppression revisited. // Eur. J. Immunology.- 2004.- Vol. 34.- P. 306-312.
24. Rouse B.T., Suvas S. Regulatory cells and infectious agents: dйtentes cordiale and contraire. // J. Immunology.- 2004.- Vol. 173.- P. 2211-2215.
25. Schwartz R.H. T cell anergy. // Annu. Rev. Immunol.- 2003.- Vol. 21.- P. 305-334.
26. Shevach E.M. Certified professionals: CD4+CD25+ suppressor T cells. // J. Exp. Med.- 2001.- Vol. 193, N 11.- P. 41–45.
27. Shevach E.M. CD4+CD25+ suppressor T cells: more questions than answers. // Nature Reviews Immunology.- 2002.- Vol. 2, № 6.- P. 389-400.
28. Thornton A.M., Shevach E.M. Suppressor effector function of CD4+CD25+ immunoregulatory T cells is antigen nonspecific. // J. Immunology.- 1999.- Vol. 164.- P. 183-190.
29. Yagi H., Nomura T., Nakamura K., Yamazaki S., Kitawaki T., Hori S., Maeda M., Onodera M., Uchiyama T., Fujii S., Sakagushi S. Crucial role of FOXP3in the development and function of human CD4+CD25+ regulatory T cells. // International Immunology.- 2004.- Vol. 16.- P. 1643-1656.
30. Wolf A.M., Wolf D., Steurer M., Gastl G., Gunsilius E., Grubeck-Loebenstein B. Increase of regulatry T cells in the peripheral blood of cancer patients. // Clin. Canser Research.- 2003.- Vol. 9.- P. 606-612.
31. Zou L., Barnett B., Safah H., LaRussa V.F., Evdomon-Hogan M., Mottram P., Wei S., David O., Curiel T.J., Zou W. Bone marrow is a reservoir for Курганова Е.В., Тихонова М.А. и др. CD4+CD25+ regulatory T cells that traffic through CXCL12/CXCR4 signals. // J. Canser Research.- 2004.- Vol. 64.- P. 8451-8455.
Review
For citations:
Kurganova E.V., Tikhonova M.A., Streltzova E.I., Ostanin A.A., Chernykh E.R., Kozlov V.A. REGULATORY TSCELLS WITH SUPPRESSIVE ACTIVITY IN SURGICAL SEPSIS. Medical Immunology (Russia). 2006;8(1):51-60. (In Russ.) https://doi.org/10.15789/1563-0625-2006-1-51-60