The activation of monocyte and T cell networks in patients with bipolar disorder |
| |
Authors: | Drexhage Roosmarijn C Hoogenboezem Thomas H Versnel Marjan A Berghout Arie Nolen Willem A Drexhage Hemmo A |
| |
Institution: | a Dept. of Immunology, ErasmusMC, Rotterdam, The Netherlands b Dept. of Internal Medicine, Maasstad Ziekenhuis, Rotterdam, The Netherlands c Dept. of Psychiatry, University Medical Center, Groningen, The Netherlands |
| |
Abstract: | ObjectivesWe recently described a monocyte pro-inflammatory state in patients with bipolar disorder (BD). We hypothesized that the CD4+T cell system is also activated and determined percentages of Th1, Th2, Th17 and CD4+CD25highFoxP3+ regulatory T cells.MethodsWe carried out a detailed FACS analysis to determine the various T cell subsets and used frozen stored peripheral blood mononuclear cells (PBMC) of 38 BD patients (of whom we previously had tested monocytes for pro-inflammatory gene expression (
Drexhage et al., 2010a] and Padmos et al., 2008])) and of 22 age/gender matched healthy controls (HC). In addition the cytokines CCL2, IL-1β, IL-6, TNF-α, PTX3, IL-10, IFN-γ, IL-17A, IL-4, IL-5 and IL-22 were measured in serum.Results(a) Serum sCD25 levels and percentages of anti-inflammatory CD4+CD25highFoxP3+ regulatory T cells were higher, the latter in BD patients <40 years of age. Percentages of Th1, Th2 and Th17 cells were normal.(b) Of the pro-inflammatory monocyte cytokines CCL2 and PTX3 were raised in serum.(c) The monocyte pro-inflammatory state and the raised percentages of CD4+CD25highFoxP3+ regulatory T cells occurred independently from each other.(d) In BD patients positive for thyroid autoimmune disease a significantly reduced percentage of CD4+CD25highFoxP3+ regulatory T cells was found as compared to BD patients without AITD.ConclusionOur data show an enhancement of pro-inflammatory monocyte and anti-inflammatory T cell forces in BD patients. A lack of anti-inflammatory T cell forces co-occurred with AITD in BD patients. |
| |
Keywords: | Bipolar disorder Activated inflammatory response system Regulatory T cells FACS Thyroid autoimmunity |
本文献已被 ScienceDirect PubMed 等数据库收录! |
|