Correlation between the disorder of peripheral blood lymphocyte subsets ratio and Parkinson′s disease
WANG Yuling1,2 YAO Ya′ni2 GAO Hua3 XIA Huan4 YANG Xinling1▲
1.Department of Neurology, the Second Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi, 830063, China;
2.Department of Cadre Health, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China;
3.Department of Neurology, the Fifth Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China;
4.Department of Nuclear Medicine, Tumor Hospital Affiliated to Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China
Abstract:Objective To explore the correlation between neural immune mechanisms and the occurrence of Parkinson′s disease (PD) by detecting the percentage differences of lymphocyte subtypes in peripheral blood of patients with PD. Methods Fluorescence staining method was used to determine the periphery of primary PD patients (case group, 83 cases) admitted to the First Affiliated Hospital of Xinjiang Medical University (“our hospital” for short) from June 2014 to July 2017 and healthy physical examination patients (control group, 100 cases) in our hospital during the same period, while the differences in the percentage of CD3+, CD4+, CD8+, CD19+, CD56+, Fas and Tregs cells in the blood were measured, and the correlation between whether the patients in the case group took the drug Compound Levodopa, Hoehn-Yahr (HY) grade difference and the changes of lymphocyte subsets were analyzed. Results CD3+, CD4+, and CD8+ in the case group were lower than those in the control group, while the positive subsets of CD56+ cells, Fas and Tregs were higher than those in the control group, and the differences were highly statistically significant (P < 0.01). Fas and Tregs cell subsets in the medication group were lower than those in the non-administration group, and the differences were statistically significant (P < 0.05). Correlation analysis showed that the number of Fas and Tregs positive cells were positively correlated with HY grade (r = 0.620, 0.761, P < 0.05). Conclusion Peripheral blood lymphocyte subsets of PD patients have a disorder in the proportions. The the proportion of Fas and Tregs cells are related to the severity of the disease in PD patients. For PD patients who are not treated with oral Compound Levodopa, the proportion will further increase.
王玉玲1,2 姚亚妮2 高华3 夏欢4 杨新玲1▲. 外周血淋巴细胞亚群比例紊乱与帕金森病的相关性研究[J]. 中国医药导报, 2020, 17(26): 49-52.
WANG Yuling1,2 YAO Ya′ni2 GAO Hua3 XIA Huan4 YANG Xinling1▲. Correlation between the disorder of peripheral blood lymphocyte subsets ratio and Parkinson′s disease. 中国医药导报, 2020, 17(26): 49-52.
[1] Michel PP,Hirsch EC,Hunot S. Understanding dopaminergic cell death pathways in Parkinson disease [J]. Neuron,2016,90(4):675-691.
[2] Ide K,Yamada H,Umegaki K,et al. Lymphocyte vitamin C levels as potential biomarker for progression of Parkinson′s disease [J]. Nutrition,2015,31(2):406-408.
[3] Cen L,Yang C,Huang S,et al. Peripheral lymphocyte subsets as a marker of Parkinson′s disease in a Chinese population [J]. Neurosci Bull,2017,33(5):493-500.
[4] Rocha NP,Assis F,Scalzo PL,et al. Reduced activated T lymphocytes (CD4+ CD25+) and plasma levels of cytokines in Parkinson′s disease [J]. Mol Neurobiol,2018, 55(2):1488-1497.
[5] Shrestha S,Yang K,Guy C,et al. Treg cells require the phosphatase PTEN to restrain TH1 and TFH cell responses [J]. Nat Immunol,2015,16(2):178-187.
[6] Spence A,Klementowicz JE,Bluestone JA,et al. Targeting Treg signaling for the treatment of autoimmune diseases [J]. Curr Opin Immunol,2015,37:11-20.
[7] Chinen T,Kannan A,Levine A,et al. An essential role for the IL-2 receptor in Treg cell function [J]. Nat Immunol,2016,17(11):1322-1333.
[8] Hughes AJ,Daniel SE,Kilford L,et al. Accuracy of clinical diagnosis of idiopathic Parkinson′s disease:a clinico-pathological study of 100 cases [J]. J Neurol Neurosurg Psychiatry,1992,55(3):181-184.
[9] Hoehn MM,Yahr MD. Parkinsonism:onset,progression,and mortality [J]. Neurology,1967,17(5):427.
[10] Maetzler W,Berg D. Changing views after 200 years of Parkinson disease [J]. Nat Rev Neurol,2018,14(2):70-72.
[11] Spittau B. Interleukin 4-induced neuroprotection and regulation of microglia activation as a therapeutic approach in the MPTP model of Parkinson′s disease [J]. Neural Regen Res,2017,12(9):1433-1434.
[12] 孙雪婷,李可为,余刚.帕金森病免疫炎症机制的研究进展[J].中华神经科杂志,2019,52(8):670-673.
[13] 杨毅,韩晨阳,郭丽,等.帕金森病患者外周血中辅助性T细胞亚群Th9及其细胞因子白细胞介素9的研究[J].中华神经科杂志,2018,51(3):171-174.
[14] Feng J,Feng L,Zhang G. Mitochondrial damage in hippocampal neurons of rats with epileptic protein expression of Fas and caspase-3 [J]. Exp Ther Med,2018,16(3):2483-2489.
[15] 夏欢,罗琴,王玉玲,等.帕金森病多巴胺细胞凋亡与Fas基因表达的机制研究[J].中国医药导报,2019,16(34):4-6.
[16] Overacre AE,Vignali DA. Treg stability:to be or not to be [J]. Curr Opin Immunol,2016,39:39-43.
[17] Wyss L,Stadinski BD,King CG,et al. Affinity for self antigen selects Treg cells with distinct functional properties [J]. Nat Immunol,2016,17(9):1093-1101.
[18] Damo M,Joshi N S. Treg cell IL-10 and IL-35 exhaust CD8+ T cells in tumors [J]. Nat. Immunol,2019,20:674-675.
[19] Fasching P,Stradner M,Graninger W,et al. Therapeutic Potential of Targeting the Th17/Treg Axis in Autoimmune Disorders [J]. Molecules,2017,22(1):134.
[20] Nasi G,Ahmed T,Rasini E,et al. Dopamine inhibits human CD8+ Treg function through D1-like dopaminergic receptors [J]. J Neuroimmunol,2019,332:233-241.
[21] Guan YQ,Zhao CS,Zou HQ,et al. Aging,rather than Parkinson′s disease,affects the responsiveness of PBMCs to the immunosuppression of bone marrow mesenchymal stem cells [J]. Mol Med Rep,2019,19(1):165-176.
[22] 栗永生,薛莉,韩珣,等.Fas相关死亡结构域蛋白基因沉默对帕金森病模型鼠黑质凋亡相关蛋白的影响[J].中华神经科杂志,2012,45(9):659-663.