REGULATORY T-CELLS IN ACUTE ISCHEMIC STROKE AND THEIR RELATION WITH INFLAMMATORY RESPONSE AND DEVELOPMENT OF INFECTIOUS COMPLICATIONS

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Abstract

The study has demonstrated a signifi cant increase in percentage of circulating CD4+CD25hi regulatory T cells and a decrease in Th1 (CD4+IFNγ+ N cells), as well as elevated leukocyte count, neutrophil-tolymphocyte ratio and CRP level during the first 24–48 hours after onset of ischemic stroke (IS). O note, patients with poststroke infection had less pronounced increase in CD4+CD25hi T-cells and the decrease in CD4+IFNγ+ T lymphocytes, while inflammatory response was significantly higher than in the opposite group. The largest difference between groups was observed when assessing the ratio of CD4+IFNγ+ and CD4+CD25hi T cells. The ratio of CD4+IFNγ+/ CD4+CD25hi in patients with infections was 3 times higher than in the group without infectious complications, correlated with the concentration of CRP (R = 0.54; p = 0.02) and the value of ratio > 1.14 allowed to predict infection with a specificity of 85.7% and a sensitivity of 68.8%. 

About the authors

S. A. Morozov

Research Institute of Fundamental and Clinical Immunology

Author for correspondence.
Email: el-gorra@mail.ru

post-graduate student, laboratory of cellular immunotherapy, 

Novosibirsk

Russian Federation

N. V. Pronkina

Research Institute of Fundamental and Clinical Immunology

Email: fake@neicon.ru

Head of laboratory of clinical immunology,

Novosibirsk

Russian Federation

N. M. Starostina

Research Institute of Fundamental and Clinical Immunology

Email: fake@neicon.ru

PhD, Head of Department of immunology,

Novosibirsk

Russian Federation

O. Y. Leplina

Research Institute of Fundamental and Clinical Immunology

Email: fake@neicon.ru

MD, Leading Researcher,

Novosibirsk

Russian Federation

A. A. Ostanin

Research Institute of Fundamental and Clinical Immunology

Email: fake@neicon.ru

MD, Chief Researcher,

Novosibirsk

Russian Federation

A. A. Shtobbe

City Clinical Hospital № 1

Email: fake@neicon.ru

PhD, Head of Department of neurilogy,

Novosibirsk

Russian Federation

E. R. Chernykh

Research Institute of Fundamental and Clinical Immunology

Email: fake@neicon.ru

MD, Corresponding Member of the Russian Academy of Sciences, Head of laboratory of cellular immunotherapy,

Novosibirsk

Russian Federation

References

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  2. Liesz A., Kleinschnitz C. Regulatory T сells in Poststroke Immune Homeostasis. Transl Stroke Res. 2016, 7; 4, 313–321.
  3. Saino O., Taguchi A., Nakagomi T., Nakano-Doi A., Kashiwamura S., Doe N., Nakagomi N., Soma T., Yoshikawa H., Stern D., Okamura H. Immunodefi ciency reduces neural stem/progenitor cell apoptosis and enhances neurogenesis in the cerebral cortex after stroke. J. Neurosci Res, 2010, 88, 2385–2389.
  4. Zouggari Y., Ait-Oufella H., Waeckel L., Vilar J., Loinard C., Cochain C., Recalde A., Duriez M., Levy B., Lutgens E., Silvestre J. Regulatory T cells modulate postischemic neovascularization. Circulation. 2009, 120, 1415–1425.
  5. Shi K., Wood K., Shi F., Wang X, Liu Q. Stroke-induced immunosuppression and poststroke infection. Stroke Vasc Neurol. 2018, 3, 34–41.

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Copyright (c) 2019 Morozov S.A., Pronkina N.V., Starostina N.M., Leplina O.Y., Ostanin A.A., Shtobbe A.A., Chernykh E.R.

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