Altered follicular regulatory T (Tfr)‐ and helper T (Tfh)‐cell subsets are associated with autoantibody levels in microscopic polyangiitis patients

نویسندگان

چکیده

Abstract Antineutrophil cytoplasmic antibodies (ANCA)‐associated vasculitis (AAV) is an autoimmune disease characterized by B cells‐derived ANCAs, and ANCA was proved to be a key factor in its pathogenesis. Follicular regulatory T (Tfr) follicular helper (Tfh) cells were T‐cell subsets that play important roles B‐cell maturation antibody production. However, their significances microscopic polyangiitis (MPA) patients, one type of AAV, has not been thoroughly studied. In this study, comprehensive pattern analyses circulating Tfr Tfh performed MPA patients healthy controls (HCs), we found levels Tfr/Tfh ratios significantly decreased patients. Compared with HCs, Helios+, CD45RA‐FoxP3hi, Ki‐67+ lower while CD226+ higher. These phenotypes suggest function proliferation ability relatively impaired. subsets, including ICOS+PD‐1+ Tfh, increased, suggesting the enhanced although total did change significantly. Circulating memory plasmablasts elevated negatively correlated addition, positively serum myeloperoxidase (MPO)‐ANCA levels. Furthermore, ratio also reversely associated SCr, BUN, IL‐4, IL‐21 Our results imbalance functional related increased level autoantibodies propose new mechanism for pathogenesis MPA.

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ژورنال

عنوان ژورنال: European Journal of Immunology

سال: 2021

ISSN: ['1521-4141', '0014-2980']

DOI: https://doi.org/10.1002/eji.202049093