MannCWhitney U test was used for statistical analysis Frequency of aging Treg-like cells among CD4+ T cells in peripheral blood and bone marrow In MGUS and MM patients but not in controls, we observed a FoxP3+ T cell subset lacking the expression of CD28. volunteers. 12935_2018_687_MOESM3_ESM.pdf (51K) GUID:?4B7DBA2B-34FB-4852-8B95-01DF1C4780D8 Data Availability StatementThe datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request. Abstract Background Accumulating evidence have indicated that regulatory T cells (Tregs) play an essential role in T cell-mediated immune response and development of multiple myeloma (MM). CD4+FoxP3+ T cells are composed of three phenotypically and functionally distinct subpopulations: CD45RA+FoxP3lo resting Tregs (rTregs), CD45RA?FoxP3hi activated Tregs (aTregs) and CD45RA?FoxP3lo non-suppressive T cells (non-Tregs). We aimed to clarify the frequency and function of these three subpopulations in newly diagnosed multiple myeloma and monoclonal gammopathy of undetermined significance (MGUS) patients. In addition, CD28?CD4+FoxP3+ Treg-like cell is a senescent regulatory T cell subset with partial suppressive function, which could be impaired during myelomagenesis. Methods we examined 20 patients with MGUS, 26 patients with newly diagnosed MM and 18 healthy volunteers. Flow cytometric analysis in peripheral blood and bone marrow was performed for frequency study. The immunosuppressive function of Treg subsets was assessed by their ability to suppress the proliferation of responder cells in co-culture. Concentration of cytokine from the culture supernatants of proliferation assay was Pazopanib HCl (GW786034) measured using ELISA. Results The proportion of activated Tregs in CD4+ T cells was significantly higher in MGUS and MM patients than healthy controls (value<0.05 was considered as significant. Results Frequency of aTregs, rTregs and non-Tregs among CD4+ T cells in Peripheral Blood Quantification analysis showed that PB aTregs among CD4+ T cells were notably elevated in MGUS (5.70??1.50%, n?=?10, P?0.01) and MM patients (6.52%??1.37%, n?=?16, P?0.0001) compared with healthy adults (4.13%??0.84%, n?=?10), while there was no difference between MGUS and MM group (P?=?0.16) (Fig.?1a). The frequency of rTregs among CD4+ T cells did not show any significance in MGUS patients (6.16%??1.34%, P?=?0.72) and MM patients (5.69%??0.98%, P?=?0.074) against healthy controls (6.35%??0.94%) (Fig.?1b). No significant Pazopanib HCl (GW786034) difference in the frequency of non-Tregs among CD4+ T cells was observed among MGUS patients (19.34%??2.24%, P?=?0.22) and MM patients (19.68%??2.05%, P?=?0.67) compared with healthy adults (20.51%??1.84%) (Fig.?1c). Open in a separate window Fig.?1 The proportion of Treg subsets in Peripheral Blood. Scattergrams show proportion of aTregs (a), rTregs (b) and non-Tregs (c) in PB from healthy adults (HA, n?=?10), MGUS patients (n?=?10) and myeloma patients (MM, n?=?16). MannCWhitney U test was used for statistical analysis Frequency of aTregs, rTregs and non-Tregs among CD4+ T cells in Pazopanib HCl (GW786034) Bone Marrow Similar with PB, the frequency of BM aTregs among CD4+ T cells was dramatically higher in MGUS (5.52%??1.45%, n?=?20, P?0.0001) and MM ICOS patients (6.24%??1.51%, n?=?26, P?0.0001) than healthy adults (3.34%??1.23%, n?=?18), whereas there was no difference between MGUS and MM group (P?=?0.11) (Fig.?2a). Unlike PB results, significant decrease in BM rTreg cells was observed in MGUS (6.49%??1.48%, P?=?0.02) cohort compared to healthy adults (7.83%??1.87%), and even decrease in MM patients (6.22%??1.91%, P?=?0.009) (Fig.?2b). Non-Tregs among Pazopanib HCl (GW786034) CD4+ T cells did not differ among patients with MGUS (19.88%??2.24%, P?=?0.136), with untreated myeloma patients (18.92%??2.81%, P?=?0.22) and healthy adults (18.79%??2.13%) (Fig.?2c). Open in a separate window Fig.?2 The proportion of Treg subsets in Bone Marrow. Scattergrams show proportion of aTreg (a), rTreg (b) and non-Treg (c) in BM from healthy adults (HA, n?=?18), MGUS Pazopanib HCl (GW786034) patients (n?=?20) and newly diagnosed myeloma patients (MM, n?=?26). MannCWhitney U test was used for statistical analysis Frequency of aging Treg-like cells among CD4+ T cells in peripheral blood and bone marrow In MGUS and MM patients but not in controls, we observed a FoxP3+ T cell subset lacking the expression of CD28. In PB, the proportion of circulating CD4+CD28?FoxP3+ Treg-like cells among CD4+ T cells significantly increased in MGUS patients (4.61%??1.46%, n?=?10, P?=?0.0002) and untreated myeloma patients (6.19%??0.1.58%, n?=?16, P?0.0001) compared to healthy individuals (2.33%??0.58%, n?=?10); the frequency of Treg-like cells in.
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