PMID- 38126537 OWN - NLM STAT- MEDLINE DCOM- 20231222 LR - 20231223 IS - 1414-431X (Electronic) IS - 0100-879X (Print) IS - 0100-879X (Linking) VI - 56 DP - 2023 TI - The level of Tim-3+CD8+ T cells can serve as a potential marker for evaluating the severity of acute graft-versus-host disease after haplo-PBSCT. PG - e12997 LID - S0100-879X2023000100696 [pii] LID - 10.1590/1414-431X2023e12997 [doi] LID - e12997 AB - Early and accurate diagnosis of acute graft-versus-host disease (aGVHD) after allogeneic hematopoietic stem cell transplantation is crucial for the prognosis of patients. This study identified a potential biomarker for the severity of aGVHD after human leukocyte antigen (HLA)-haploidentical peripheral blood hematopoietic stem cell transplantation (haplo-PBSCT). We included 20 healthy subjects and 57 patients who underwent haplo-PBSCT. Of these patients, 22 developed aGVHD after haplo-PBSCT. The results showed that patients with aGVHD had significantly increased levels of Tim-3+/Perforin+/Granzyme B+CD8+ T cells, but significantly decreased Galectin-9. The differences in Galectin-9 and Tim-3+/Granzyme B+CD8+ T cells between grade I-II aGVHD and III-IV aGVHD were also significant. In vitro, the apoptosis of CD8+ T cells from aGVHD patients was significantly increased after Tim-3/Galectin-9 pathway activation, which decreased Granzyme B secretion. As revealed by univariate analysis, the level of Tim-3+CD8+ T cells was a risk factor for severe aGVHD. ROC analysis demonstrated that high levels of Tim-3+CD8+ T cells had a significant diagnostic value for severe aGVHD, with an area under the curve of 0.854 and cut-off value of 14.155%. In conclusion, the binding of Tim-3 with exogenous Galectin-9 can promote apoptosis of CD8+ T cells and affect the secretion of Granzyme B. Tim-3+CD8+ T cells have the potential to serve as immunological markers for assessing the severity of aGVHD after haplo-PBSCT and identifying patients at a higher risk for severe aGVHD. FAU - Pang, Nannan AU - Pang N AUID- ORCID: 0000-0003-0975-192X AD - Department of Pathology, the First Affiliated Hospital of Shihezi University, Shihezi, Xinjiang, China. AD - CAS Key Lab of Bio-Medical Diagnostics, Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou, China. FAU - Yu, Mingkai AU - Yu M AUID- ORCID: 0000-0001-6046-2846 AD - School of Public Health, Xinjiang Medical University, Urumqi, China. FAU - Xu, Jianli AU - Xu J AUID- ORCID: 0000-0002-9538-0370 AD - Center of Hematology, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region Research Institute of Hematology, Urumqi, China. FAU - Yuan, Hailong AU - Yuan H AUID- ORCID: 0000-0002-6251-2285 AD - Center of Hematology, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region Research Institute of Hematology, Urumqi, China. FAU - Chen, Gang AU - Chen G AUID- ORCID: 0000-0002-6067-1397 AD - Center of Hematology, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region Research Institute of Hematology, Urumqi, China. FAU - Wang, Dong AU - Wang D AUID- ORCID: 0009-0002-2670-8616 AD - Center of Hematology, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region Research Institute of Hematology, Urumqi, China. FAU - Han, Chunxia AU - Han C AUID- ORCID: 0009-0009-0261-1810 AD - Center of Hematology, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region Research Institute of Hematology, Urumqi, China. FAU - Wang, Weiguo AU - Wang W AUID- ORCID: 0000-0003-2688-8557 AD - Department of Urology, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, China. FAU - Ding, Jianbing AU - Ding J AUID- ORCID: 0000-0001-5506-7665 AD - School of Public Health, Xinjiang Medical University, Urumqi, China. FAU - Jiang, Ming AU - Jiang M AUID- ORCID: 0000-0003-2523-7285 AD - Center of Hematology, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region Research Institute of Hematology, Urumqi, China. LA - eng PT - Journal Article DEP - 20231218 PL - Brazil TA - Braz J Med Biol Res JT - Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas JID - 8112917 RN - EC 3.4.21.- (Granzymes) RN - 0 (Hepatitis A Virus Cellular Receptor 2) RN - 0 (Galectins) SB - IM MH - Humans MH - Granzymes MH - Hepatitis A Virus Cellular Receptor 2 MH - *Hematopoietic Stem Cell Transplantation/adverse effects MH - CD8-Positive T-Lymphocytes MH - *Graft vs Host Disease/diagnosis/etiology MH - Galectins MH - Acute Disease PMC - PMC10729645 EDAT- 2023/12/21 12:41 MHDA- 2023/12/22 06:43 PMCR- 2023/12/18 CRDT- 2023/12/21 08:04 PHST- 2023/08/11 00:00 [received] PHST- 2023/10/29 00:00 [accepted] PHST- 2023/12/22 06:43 [medline] PHST- 2023/12/21 12:41 [pubmed] PHST- 2023/12/21 08:04 [entrez] PHST- 2023/12/18 00:00 [pmc-release] AID - S0100-879X2023000100696 [pii] AID - 10.1590/1414-431X2023e12997 [doi] PST - epublish SO - Braz J Med Biol Res. 2023 Dec 18;56:e12997. doi: 10.1590/1414-431X2023e12997. eCollection 2023.