Immunophenotyping of T cells in the peripheral circulation in psoriasis

Autor: Laxmisha Chandrashekar, S. Indhumathi, M. Priyadarssini, D Divya Priya, Devinder Mohan Thappa, Medha Rajappa
Rok vydání: 2016
Předmět:
0301 basic medicine
CD4-Positive T-Lymphocytes
Male
Pathology
medicine.medical_treatment
Clinical Biochemistry
T-Lymphocytes
Regulatory

030207 dermatology & venereal diseases
0302 clinical medicine
Immunophenotyping
T-Lymphocyte Subsets
Immunology and Allergy
education.field_of_study
medicine.diagnostic_test
Middle Aged
Flow Cytometry
Infectious Diseases
medicine.anatomical_structure
Cytokine
Cytokines
Female
medicine.symptom
Keratinocyte
Microbiology (medical)
Adult
medicine.medical_specialty
Immunology
Population
Inflammation
Microbiology
Peripheral blood mononuclear cell
Flow cytometry
03 medical and health sciences
Th2 Cells
Psoriasis
medicine
Humans
education
business.industry
Biochemistry (medical)
Th1 Cells
medicine.disease
030104 developmental biology
Cross-Sectional Studies
Leukocytes
Mononuclear

Th17 Cells
business
Zdroj: Europe PubMed Central
ISSN: 0967-4845
Popis: Psoriasis is a T-helper (Th)-1/Th17-mediated chronic inflammatory disease. Cytokine mediated interaction between T lymphocytes and keratinocytes lead to keratinocyte hyper-proliferation, which leads to further inflammation in the psoriatic plaques. There is an increased population of T-helper cells in the skin lesions as well as in the peripheral circulation in psoriasis. However, the relative percentage of each T-cell phenotype in the disease pathogenesis is understudied. Our aim was to study the immune-phenotype of the different T-helper/T-reg cell subsets in patients with psoriasis, with respect to healthy controls.A total of 189 cases of psoriasis and 189 age- and gender-matched healthy controls were recruited in this cross-sectional study. Disease severity was determined by psoriasis area severity index (PASI) scoring. Peripheral blood mononuclear cells were isolated by Ficoll-Paque density centrifugation, and T-cell immunophenotyping was done by flow cytometric analysis.In psoriasis, we observed an imbalance in T-cell immunophenotype, characterised by an increase in Th1/Th17 cells and a relative decrease in Th2/T-reg cells, as compared to the healthy controls. We also found that the percentage of Th1/Th17 cells showed a linear trend, increasing with increasing disease severity (PASI).Our results suggest an immune-dysregulation in psoriasis associated with a predominance of Th1/Th17 phenotype, especially with increasing severity of the disease.
Databáze: OpenAIRE