Abstract

BackgroundBoth regulatory T cells (Tregs) and T helper IL-17-producing cells (Th17 cells) have been found to be involved in human malignancies, however, the possible implication of Tregs in regulating generation and differentiation of Th17 cells in malignant pleural effusion remains to be elucidated.MethodsThe numbers of both CD39+Tregs and Th17 cells in malignant pleural effusion and peripheral blood from patients with lung cancer were determined by flow cytometry. The regulation and mechanism of Tregs on generation and differentiation of Th17 cells were explored.ResultsBoth CD39+Tregs and Th17 cells were increased in malignant pleural effusion when compared with blood, and the numbers of CD39+Tregs were correlated negatively with those of Th17 cells. It was also noted that high levels of IL-1β, IL-6, and TGF-β1 could be observed in malignant pleural effusion when compared the corresponding serum, and that pleural CD39+Tregs could express latency-associated peptide on their surface. When naïve CD4+ T cells were cocultured with CD39+Tregs, Th17 cell numbers decreased as CD39+Treg numbers increased, addition of the anti-latency-associated peptide mAb to the coculture reverted the inhibitory effect exerted by CD39+Tregs.ConclusionsTherefore, the above results indicate that CD39+Tregs inhibit generation and differentiation of Th17 cells via a latency-associated peptide-dependent mechanism.

Highlights

  • It has been well documented that CD4+ T lymphocyte dominance occurs in malignant pleural effusion (MPE) [1,2]

  • With gating on CD4 +CD25high subset, we once again observed in the present study that a significant increase in CD39+Tregs were was observed in MPE (7.5 ± 1.0%) compared with blood (4.4 ± 0.5%) (n = 16, Wilcoxon signed-rank test, p < 0.001) (Figure 1D)

  • We further found that the ratios of CD39+Tregs/Th17 cells were significantly lower in MPE (3.3 ± 1.0) than in blood (11.5 ± 2.4, n = 16, Wilcoxon signed-rank test, p < 0.001) (Figure 1F)

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Summary

Introduction

It has been well documented that CD4+ T lymphocyte dominance occurs in malignant pleural effusion (MPE) [1,2]. We were prompted to investigate whether CD39+Tregs are capable of suppressing generation and differentiation of Th17 cells, as well as whether LAP is involved in such a possible suppression in MPE. Both regulatory T cells (Tregs) and T helper IL-17-producing cells (Th17 cells) have been found to be involved in human malignancies, the possible implication of Tregs in regulating generation and differentiation of Th17 cells in malignant pleural effusion remains to be elucidated. Conclusions: the above results indicate that CD39+Tregs inhibit generation and differentiation of Th17 cells via a latency-associated peptide-dependent mechanism

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