Levels of T-regulatory cells in patients with chronic obstructive pulmonary disease and basis therapy efficiency
https://doi.org/10.20538/1682-0363-2012-6-153-159
Abstract
Open prospective comparative study was performed to evaluate association of basis treatment of chronic obstructive pulmonary disease (COPD) and initial levels of individual subpopulations of T-regulatory cells. Results of study suggested what high regulatory performance in COPD (CD4+FoxP3+ > 7%) associated with low effect of anti-inflammatory therapy. This findings may be taken into account at therapy appointment.
About the Authors
N. A. KirillovaRussian Federation
I. A. Deyev
Russian Federation
Ye. E. Kremer
Russian Federation
L. M. Ogorodova
Russian Federation
G. E. Chernogoryuk
Russian Federation
Ye. S. Kulikov
Russian Federation
S. V. Fedosenko
Russian Federation
References
1. Авдеев С.Н. Фенотипы хронической обструктивной болезни легких: особенности терапии // Пульмонология. 2010. № 1. С. 23—29.
2. Геренг Е.А., Суходоло И.В., Плешко Р.И. и др. Морфологические маркеры ремоделирования слизистой оболочки бронхов при тяжелой форме бронхиальной астмы и хронической обструктивной болезни легких // Пульмонология. 2009. №4. С. 64—68.
3. Кириллова Н.А., Деев И.А., Кремер Е.Э. и др. Субпопуляции Т-регуляторных клеток при бронхиальной астме и гетерогенных фенотипах хронической обструктивной болезни легких // Бюл. сиб. медицины. 2011. Т. 10, № 1. С. 48—54.
4. Пульмонология (клинические рекомендации) / под ред. А.Г. Чучалина. М.: ГЭОТАР-Медиа, 2006. 264 с.
5. Хроническая обструктивная болезнь легких / под ред. А.Г. Чучалина. М.: Атмосфера, 2008. 568 с.
6. Черняк Б.А., Петровский Ф.И. Воспаление при ХОБЛ: клиническое значение и возможности фармакотерапевтического контроля // Атмосфера. Пульмонология и аллергология. 2008. № 1. С. 23—28.
7. Ярилин А.А., Донецкова А.Д. Естественные регуляторные Т-клетки и фактор FOXP3 // Иммунология. 2006. № 3. С. 176—188.
8. Agustí A., Edwards L.D., Rennard S.I. et al. Persistent sys-temic inflammation is associated with poor clinical outcomes in COPD: a novel phenotype / Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints (ECLIPSE) Investigators // PLoS One. 2012. V. 7(5). e37483.
9. American Lung Association. Trends in COPD (chronic bronchitis and emphysema): morbidity and mortality. American Lung Association, Epidemiology and Statistics Unit, Research and Program Services Division. April. Accessed January 12, 2010. Available at: http://www.lungusa.org/assets/documents/COPD_APRIL_2009.pdf.
10. Barnes P.J. Emerging pharmacotherapies for COPD // Chest. 2008. V. 134. P. 1278—1286.
11. Bettelli E., Dastrange M., Oukka M. Foxp3 interacts with nuclear factor of activated T cells and NF-κ to repress cytokine gene expression and effector functions of T helper cells // Proceedings of the National Academy of Sciences of the United States of America. 2005. V. 102, № 14. P. 5138—5143.
12. Gadgil A., Duncan S.R. Role of T-lymphocytes and pro-inflammatory mediators in the pathogenesis of chronic ob-structive pulmonary disease // Int. J. Chron. Obstruct. Pulmon. Dis. 2008. V. 3. P. 531—541.
13. Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO workshop report. Last updated 2009. www.goldcopd.org.
14. Grumelli S., Corry D.B., Song L.Z. et al. An immune basis for lung parenchymal destruction in chronic obstructive pulmonary disease and emphysema // PLoS Med. 2004. V. 1б, № 1. e8.
15. Han M.K., Agusti A., Calverley P.M. et al. Chronic obstructive pulmonary disease phenotypes: the future of COPD // Am. J. Respir. Crit. Care Med. 2010. V. 182, № 5. P. 598—604.
16. Larche M. Regulatory T cells in allergy and asthma // Chest. 2007. V. 132, № 3. P. 1007—1014.
17. Lewkowicz P., Lewkowicz N., Sasiak A. et al. Lipopolysac-charide-activated CD4+CD25+ T regulatory cells inhibit neutrophil function and promote their apoptosis and death // J. Immunol. 2006. V. 177, № 10. P. 7155—7163.
18. Sakaguchi S., Sakaguchi N. Regulatory T cells in immuno-logic selftolerance and autoimmune disease // Int. Rev. Immunol. 2005. V. 24. P. 211—222.
19. Selivanova P.A., Kulikov E.S., Kozina O.V. et al. Differen-tial expression of the β2-adrenoreceptor and M3-cholinoreceptor genes in bronchial mucosa of patients with asthma and chronic obstructive pulmonary disease // Ann. Allergy Asthma Immunol. 2012. V. 108 (1). P. 39—43.
20. Yang L., Ma Q., Yaoet W. et al. Relationship between the anti-inflammatory properties of salmeterol/fluticasone and the expression of CD4+CD25+Foxp3+ regulatory T cells in COPD // Respiratory Research. 2011. V. 12. 142.
Review
For citations:
Kirillova N.A., Deyev I.A., Kremer Ye.E., Ogorodova L.M., Chernogoryuk G.E., Kulikov Ye.S., Fedosenko S.V. Levels of T-regulatory cells in patients with chronic obstructive pulmonary disease and basis therapy efficiency. Bulletin of Siberian Medicine. 2012;11(6):153-159. (In Russ.) https://doi.org/10.20538/1682-0363-2012-6-153-159