关键词: Autoimmunity Double-negative T cell Follicular helper T cell Haploinsufficiency of A20 Regulatory T cell TNFAIP3

Mesh : Adolescent Adult Autoimmune Diseases / immunology Behcet Syndrome / immunology Child Child, Preschool Female Flow Cytometry / methods Haploinsufficiency / immunology Humans Immunophenotyping / methods Infant Male Phenotype T-Lymphocytes, Helper-Inducer / immunology T-Lymphocytes, Regulatory / immunology Young Adult

来  源:   DOI:10.1016/j.clim.2020.108441   PDF(Sci-hub)

Abstract:
Haploinsufficiency of A20 (HA20) causes inflammatory disease resembling Behçet\'s disease; many cases have been reported, including some that are complicated with autoimmune diseases. This study aims to clarify the immunophenotype of patients with HA20 by analyzing lymphocyte subsets using multicolor flow cytometry. The patients with HA20 previously diagnosed in a nationwide survey were compared by their cell subpopulations. In total, 27 parameters including regulatory T cells (Tregs), double-negative T cells (DNTs), and follicular helper T cells (TFHs) were analyzed and compared with the reference values in four age groups: 0-1, 2-6, 7-19, and ≥20 years. The Tregs of patients with HA20 tended to increase in tandem with age-matched controls at all ages. In addition, patients ≥20 years had increased DNTs compared with controls, whereas TFHs significantly increased in younger patients. In HA20 patients, the increase in DNTs and TFHs may contribute to the development of autoimmune diseases.
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