PMID- 30657547 OWN - NLM STAT- MEDLINE DCOM- 20200622 LR - 20200622 IS - 2284-0729 (Electronic) IS - 1128-3602 (Linking) VI - 23 IP - 1 DP - 2019 Jan TI - Expression of T follicular helper lymphocytes with different subsets and analysis of serum IL-6, IL-17, TGF-beta and MMP-3 contents in patients with rheumatoid arthritis. PG - 61-69 LID - 16748 [pii] LID - 10.26355/eurrev_201901_16748 [doi] AB - OBJECTIVE: To investigate the expression levels of T follicular helper (Tfh) with different subsets in patients with rheumatoid arthritis (RA) and their serum interleukin-6 (IL-6), interleukin-17 (IL-17), transforming growth factor-beta (TGF-beta) and matrix metalloproteinase 3 (MMP-3) contents. PATIENTS AND METHODS: The medical records of 45 RA patients in the Department of Rheumatology and Immunology in the First Affiliated Hospital of Chengdu Medical College from January 2016 to April 2018 were retrospectively analyzed. They were divided into the RA high activity group (24 cases, group A) (DAS28 score >/= 5.0) and RA low activity group (21 cases, group B) (3.2 < DAS28 score < 5.0). At the same time, 20 healthy subjects were selected as a control group. Flow cytometry was used to detect the expression levels of Tfh1, Tfh2 and Tfh17, enzyme-linked immunosorbent assay to detect serum IL-6, IL-17, IL-21 and MMP-3 concentrations. The correlation of Tfh cells with IL-6, IL-17, IL-21 and MMP-3 was analyzed. RESULTS: Those of peripheral blood mononuclear cell (PBMC) Tfh2 and Tfh17 cells were significantly higher in group A than those in group B (p < 0.05). Compared with the control group, the concentrations of serum IL-6, IL-17 and MMP-3 significantly increased (p < 0.001), but that of serum TGF-beta markedly decreased in group A and group B (p < 0.01). The concentrations of serum IL-6, IL-17 and MMP-3 were remarkably higher in group A than those in group B (p < 0.001), but that of serum TGF-beta was significantly lower in group A than that in group B (p < 0.001). The expression level of PBMC Tfh2 cells, PBMC Tfh17 cells was positively correlated with serum IL-6, IL-17 and MMP-3. The expression levels of Tfh2 and Tfh17 cells are positively correlated with serum IL-6, IL-17 and MMP-3 concentrations, negatively correlated with serum TGF-beta concentration. CONCLUSIONS: Tfh2 and Tfh17 are expected to be new targets for immunotherapy in RA patients. FAU - Sun, W-K AU - Sun WK AD - School of Laboratory Medicine/Sichuan Provincial Engineering Laboratory for Prevention and Control Technology of Veterinary Drug Residue in Animal-origin Food, Chengdu Medical College, Chengdu, P.R. China. qgw2tb@163.com. FAU - Bai, Y AU - Bai Y FAU - Yi, M-M AU - Yi MM FAU - Wu, L-J AU - Wu LJ FAU - Chen, J-L AU - Chen JL FAU - Wu, D-M AU - Wu DM FAU - Wu, H-W AU - Wu HW FAU - Wan, L AU - Wan L FAU - Meng, Y AU - Meng Y FAU - Zhang, Q-L AU - Zhang QL LA - eng PT - Journal Article PL - Italy TA - Eur Rev Med Pharmacol Sci JT - European review for medical and pharmacological sciences JID - 9717360 RN - 0 (IL6 protein, human) RN - 0 (Interleukin-17) RN - 0 (Interleukin-6) RN - 0 (Transforming Growth Factor beta) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adult MH - Aged MH - Arthritis, Rheumatoid/blood/*immunology MH - Case-Control Studies MH - Female MH - Flow Cytometry MH - Humans MH - Interleukin-17/blood/immunology/metabolism MH - Interleukin-6/blood/immunology/metabolism MH - Lymphocyte Count MH - Male MH - Matrix Metalloproteinase 3/blood/immunology/metabolism MH - Middle Aged MH - Retrospective Studies MH - Th17 Cells/*immunology/metabolism MH - Th2 Cells/*immunology/metabolism MH - Transforming Growth Factor beta/immunology/metabolism EDAT- 2019/01/19 06:00 MHDA- 2020/06/23 06:00 CRDT- 2019/01/19 06:00 PHST- 2019/01/19 06:00 [entrez] PHST- 2019/01/19 06:00 [pubmed] PHST- 2020/06/23 06:00 [medline] AID - 16748 [pii] AID - 10.26355/eurrev_201901_16748 [doi] PST - ppublish SO - Eur Rev Med Pharmacol Sci. 2019 Jan;23(1):61-69. doi: 10.26355/eurrev_201901_16748.