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The imbalance between Bregs, Tfh, and Tregs in patients with anti-N-methyl-D-aspartate receptor encephalitis

OBJECTIVE: To detect the alteration of regulatory B cells (Bregs), follicular helper T cells (Tfh), and regulatory T cells (Tregs) frequencies in patients with anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis. Analyze their association with clinical severity and activity, and explore the...

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Autores principales: Li, Yatong, Zhang, Jing, Liu, Lei, Cui, Shilei, Sun, Houliang, Jiang, Hanqiu, Guo, Yanjun, Zhang, Jingxiao, Xie, Zhuxiao, Wang, Jiawei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10257618/
https://www.ncbi.nlm.nih.gov/pubmed/36781561
http://dx.doi.org/10.1007/s10072-023-06624-z
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author Li, Yatong
Zhang, Jing
Liu, Lei
Cui, Shilei
Sun, Houliang
Jiang, Hanqiu
Guo, Yanjun
Zhang, Jingxiao
Xie, Zhuxiao
Wang, Jiawei
author_facet Li, Yatong
Zhang, Jing
Liu, Lei
Cui, Shilei
Sun, Houliang
Jiang, Hanqiu
Guo, Yanjun
Zhang, Jingxiao
Xie, Zhuxiao
Wang, Jiawei
author_sort Li, Yatong
collection PubMed
description OBJECTIVE: To detect the alteration of regulatory B cells (Bregs), follicular helper T cells (Tfh), and regulatory T cells (Tregs) frequencies in patients with anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis. Analyze their association with clinical severity and activity, and explore the effects of different immunotherapies on those immune cell subsets. METHODS: We enrolled 21 patients with anti-NMDAR encephalitis, 22 patients with neuromyelitis optica spectrum disorder (NMOSD), 14 patients with idiopathic intracranial hypertension (IIH), and 20 healthy controls (HC) in our study. The frequencies of various immune cell subsets were determined using flow cytometry. RESULTS: Compared to patients with IIH and HC, the frequencies of CD24(hi)CD38(hi) transitional B cells as well as Tregs were significantly lower while the frequency of Tfh was significantly higher in patients with anti-NMDAR encephalitis. The frequency of CD24(hi)CD38(hi) transitional B cells was significantly lower in the acute stage than in the recovery stage, and was negatively correlated with the modified Rankin scale (mRS) and the clinical assessment scale for autoimmune encephalitis (CASE). The frequency of CD24(hi)CD38(hi) transitional B cells at the last follow-up after rituximab (RTX) treatment was significantly higher than those treated with oral immunosuppressants or untreated. There was no clear difference between anti-NMDAR encephalitis and NMOSD in the above immune cell subsets. CONCLUSION: We suggested that the frequencies of CD24(hi)CD38(hi) transitional B cells and Tregs were decreased while the frequency of Tfh was increased in patients with anti-NMDAR encephalitis. CD24(hi)CD38(hi) transitional B cells frequency may be a potential indicator to estimate the disease activity and severity.
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spelling pubmed-102576182023-06-12 The imbalance between Bregs, Tfh, and Tregs in patients with anti-N-methyl-D-aspartate receptor encephalitis Li, Yatong Zhang, Jing Liu, Lei Cui, Shilei Sun, Houliang Jiang, Hanqiu Guo, Yanjun Zhang, Jingxiao Xie, Zhuxiao Wang, Jiawei Neurol Sci Original Article OBJECTIVE: To detect the alteration of regulatory B cells (Bregs), follicular helper T cells (Tfh), and regulatory T cells (Tregs) frequencies in patients with anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis. Analyze their association with clinical severity and activity, and explore the effects of different immunotherapies on those immune cell subsets. METHODS: We enrolled 21 patients with anti-NMDAR encephalitis, 22 patients with neuromyelitis optica spectrum disorder (NMOSD), 14 patients with idiopathic intracranial hypertension (IIH), and 20 healthy controls (HC) in our study. The frequencies of various immune cell subsets were determined using flow cytometry. RESULTS: Compared to patients with IIH and HC, the frequencies of CD24(hi)CD38(hi) transitional B cells as well as Tregs were significantly lower while the frequency of Tfh was significantly higher in patients with anti-NMDAR encephalitis. The frequency of CD24(hi)CD38(hi) transitional B cells was significantly lower in the acute stage than in the recovery stage, and was negatively correlated with the modified Rankin scale (mRS) and the clinical assessment scale for autoimmune encephalitis (CASE). The frequency of CD24(hi)CD38(hi) transitional B cells at the last follow-up after rituximab (RTX) treatment was significantly higher than those treated with oral immunosuppressants or untreated. There was no clear difference between anti-NMDAR encephalitis and NMOSD in the above immune cell subsets. CONCLUSION: We suggested that the frequencies of CD24(hi)CD38(hi) transitional B cells and Tregs were decreased while the frequency of Tfh was increased in patients with anti-NMDAR encephalitis. CD24(hi)CD38(hi) transitional B cells frequency may be a potential indicator to estimate the disease activity and severity. Springer International Publishing 2023-02-13 2023 /pmc/articles/PMC10257618/ /pubmed/36781561 http://dx.doi.org/10.1007/s10072-023-06624-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/ Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Li, Yatong
Zhang, Jing
Liu, Lei
Cui, Shilei
Sun, Houliang
Jiang, Hanqiu
Guo, Yanjun
Zhang, Jingxiao
Xie, Zhuxiao
Wang, Jiawei
The imbalance between Bregs, Tfh, and Tregs in patients with anti-N-methyl-D-aspartate receptor encephalitis
title The imbalance between Bregs, Tfh, and Tregs in patients with anti-N-methyl-D-aspartate receptor encephalitis
title_full The imbalance between Bregs, Tfh, and Tregs in patients with anti-N-methyl-D-aspartate receptor encephalitis
title_fullStr The imbalance between Bregs, Tfh, and Tregs in patients with anti-N-methyl-D-aspartate receptor encephalitis
title_full_unstemmed The imbalance between Bregs, Tfh, and Tregs in patients with anti-N-methyl-D-aspartate receptor encephalitis
title_short The imbalance between Bregs, Tfh, and Tregs in patients with anti-N-methyl-D-aspartate receptor encephalitis
title_sort imbalance between bregs, tfh, and tregs in patients with anti-n-methyl-d-aspartate receptor encephalitis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10257618/
https://www.ncbi.nlm.nih.gov/pubmed/36781561
http://dx.doi.org/10.1007/s10072-023-06624-z
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