PMID- 33625683 OWN - NLM STAT- MEDLINE DCOM- 20220125 LR - 20220125 IS - 1559-0755 (Electronic) IS - 0257-277X (Linking) VI - 69 IP - 2 DP - 2021 Apr TI - Dysregulation of circulating follicular helper T cells in type 2 diabetic patients with diabetic retinopathy. PG - 153-161 LID - 10.1007/s12026-021-09182-8 [doi] AB - Inflammation is known to be involved in the progression of diabetic retinopathy. Follicular helper T cells (Tfh) play critical roles in the differentiation of long-live plasma cells and production of antibodies, whereas circulating CD4(+)CXCR5(+) T cells may act as a counterpart to measure Tfh cell disorders. In this study, we investigated whether Tfh could be involved in the development of diabetic retinopathy (DR) by assessing circulating Tfh cells in peripheral blood. Data showed that serum levels of total IgG and IgA were both significantly increased in type 2 diabetes mellitus (T2DM) patients with proliferative diabetic retinopathy (PDR) than with non-PDR. Also, B cell activation and differentiation were both enhanced in T2DM patients with PDR. Little changes were detected in levels of Th1, Th2, and Th17 cells. As indicated by elevated serum levels and supernatant from cultured PBMC of IL-21, we found increased circulating Tfh cells in PDR patients with dysregulated subsets. This study suggests the involvement of circulating Tfh cells in DR and, in particular, the pathogenesis of PDR. FAU - Yu, Honghua AU - Yu H AD - Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China. AD - Zhongshan Ophthalmic Center, SunYat-Sen University, Guangzhou, Guangdong, China. FAU - Liu, Baoyi AU - Liu B AD - Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China. FAU - Wu, Guanrong AU - Wu G AD - Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China. FAU - Du, Zijing AU - Du Z AD - Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China. FAU - Wu, Qiaowei AU - Wu Q AD - Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China. FAU - Zeng, Xiaomin AU - Zeng X AD - Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China. FAU - Xiao, Yu AU - Xiao Y AD - Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China. FAU - Fang, Ying AU - Fang Y AD - Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China. FAU - Yuan, Ling AU - Yuan L AD - Department of Ophthalmology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. yuanling8061@163.com. FAU - Ma, Suihong AU - Ma S AD - Department of Medical Ultrasound, Guangzhou First People's Hospital, Guangzhou, China. mshwork@163.com. AD - School of Medicine, South China University of Technology, Guangzhou, China. mshwork@163.com. FAU - Li, Tao AU - Li T AUID- ORCID: 0000-0002-2882-9297 AD - Zhongshan Ophthalmic Center, SunYat-Sen University, Guangzhou, Guangdong, China. hxydlitao@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210224 PL - United States TA - Immunol Res JT - Immunologic research JID - 8611087 RN - 0 (Cytokines) RN - 0 (Immunoglobulin A) RN - 0 (Immunoglobulin G) SB - IM MH - Adult MH - Aged MH - Cytokines/blood/immunology MH - Diabetes Mellitus, Type 2/blood/*immunology MH - Diabetic Retinopathy/blood/*immunology MH - Female MH - Humans MH - Immunoglobulin A/blood MH - Immunoglobulin G/blood MH - Male MH - Middle Aged MH - T Follicular Helper Cells/*immunology OTO - NOTNLM OT - Antibody response OT - Circulating Tfh OT - PDR OT - T2DM EDAT- 2021/02/25 06:00 MHDA- 2022/01/27 06:00 CRDT- 2021/02/24 12:14 PHST- 2020/10/12 00:00 [received] PHST- 2021/02/14 00:00 [accepted] PHST- 2021/02/25 06:00 [pubmed] PHST- 2022/01/27 06:00 [medline] PHST- 2021/02/24 12:14 [entrez] AID - 10.1007/s12026-021-09182-8 [pii] AID - 10.1007/s12026-021-09182-8 [doi] PST - ppublish SO - Immunol Res. 2021 Apr;69(2):153-161. doi: 10.1007/s12026-021-09182-8. Epub 2021 Feb 24.