间充质干细胞体外对ITP患者T淋巴细胞分泌功能的影响

目的： 体外观察间充质干细胞（MSCs）对特发性血小板减少性紫癜（ITP）患者T淋巴细胞分泌细胞因子功能的影响。方法: 采用Ficoll分离和体外贴壁、传代培养，扩增出骨髓MSCs；通过Ficoll分离法和尼龙棉柱法获取ITP患者外周血T淋巴细胞。以经丝裂霉素（MMC）处理后不同数量（2×103、1×104、5×104 cells/well）的MSCs作为基底层细胞，接种体外分离纯化的异体ITP患者T淋巴细胞，分别于2 d、4 d、6 d后各自收集培养上清，用酶联免疫吸附试验(ELISA)法动态测定T淋巴细胞分泌白细胞介素2(IL-2)、干扰素-γ(IFN-γ)、白细胞介素4(IL-4)、白细胞介素10(IL-10)水平的变化。结果: ITP患者T淋巴细胞分泌细胞因子IL-2、IFN-γ较正常人高(P<0.05)，IL-4、IL-10较正常人低(P<0.05)。MSCs可显著抑制ITP患者或正常对照组T淋巴细胞分泌IL-2、IFN-γ(P<0.05)，且随MSCs数量的增加，抑制增强(P<0.05)，共培养4 d、6 d时作用明显强于2 d时(P<0.05)；MSCs可促进ITP患者T淋巴细胞分泌IL-4、IL-10 (P<0.05)，且随MSCs量的增加，促进作用增强(P<0.05)，对IL-10的作用随时间延长而增强(P<0.05)，但对IL-4的作用在培养第2 d、4 d、6 d时无显著差异(P>0.05)；在正常对照组，当MSCs数量>1×104可以促进T淋巴细胞分泌IL-4 与IL-10 (P<0.05)，且随MSCs数量的增加，作用增强(P<0.05)，共培养4 d、6 d时作用明显强于2 d时(P<0.05)。结论: MSCs能够在体外调节ITP患者辅助性T细胞1 (Thl)和辅助性T细胞2 (Th2)反应平衡，可使ITP患者Th1极化状态部分改善。

Effect of mesenchymal stem cells on secreting function of T lymphocytes from patients with idiopathic thrombocytopenic purpura in vitro

AIM: To analyze the effect of mesenchymal stem cells (MSCs) on secreting cytokines by T lymphocytes from patients with idiopathic thrombocytopenic purpura (ITP) in vitro.METHODS: Human bone marrow-derived MSCs were isolated by Ficoll Hypaque and cultured for proliferating to passage cells. Allogeneic T lymphocytes of ITP were isolated from peripheral blood by Ficoll Hypaque and nylon cotton column. Then the stromal feeder layers of different numbers (2×103, 1×104, 5×104 per well) of MSCs treated with mitomycin were co-cultured with above-mentioned T lymphocytes. The supernatant were respectively collected on day 2, 4 and 6 after co-culture, then the levels of IL-2, IFN-γ, IL-4, IL-10 secreted by T lymphocytes were measured by enzyme linked immunosorbent assay (ELISA) dynamically.RESULTS: The levels of IL-2 and IFN-γ secreted by T cells from ITP were higher than those from normal control (P<0.05, respectively). Inversely, IL-4 and IL-10 were lower than those in normal control (P<0.05, respectively). After co-cultured with T lymphocytes, MSCs significantly inhibited the cytokine levels of IL-2 and IFN-γ secreted by T lymphocytes from ITP or health adults (P<0.05, respectively) in a dose dependent manner (P<0.05, respectively), and the effect was more obvious when co-cultured for 4 days or 6 days than that for 2 days (P<0.05, respectively). However, MSCs significantly promoted the releases of IL-4 and IL-10 by T lymphocytes from ITP patients (P<0.05, respectively) in a dose dependent manner (P<0.05, respectively), and the effect on IL-10 was in a time dependent way (P<0.05), while the effect on IL-4 had no obvious difference among 2 d, 4 d and 6 d(P>0.05). As for health control group, when cell numbers exceeded above 1×104, MSCs obviously promoted IL-4 and IL-10 levels secreted by T lymphocytes (P<0.05) in a dose dependent manner (P<0.05), and both of the effects were more noticeable when co-cultured for 4 d or 6 d than that for 2 d(P<0.05, respectively).CONCLUSION: MSCs regulate the balance between Th1 and Th2 reaction and partly correct ITP Th1 polarization in vitro.