Abstract Introduction. Helicobacter pylori can infect human gastric mucosa and cause various pathological conditions. In the blood of H. pylori-infected patients, the level of mature CD4+CCR6+ T-lymphocytes, especially pro-inflammatory CCR6+ T-helper types 1 and 17, significantly increases. Chemokine receptor CCR6 can direct cell migration from the blood into the inflamed gastric mucosa. In this work, we assessed the in vitro response of circulating CD4+CCR6+ and CD4+CCR6− T cells against H. pylori antigens in infected and intact individuals. Materials and methods. Monocytes and lymphocytes were isolated from blood samples. Monocytes were incubated with or without H. pylori. Monocyte expression of CD14, CD80 and CD86 was assessed, and monocytes were also used to stimulate syngeneic lymphocytes. Antigen-specific lymphocyte response was assessed by proliferation and expression of the activation marker OX40 on CD4+CCR6+ and CD4+CCR6- T cells. Results. Preliminary experiments have shown that incubation of monocytes with H. pylori causes a modestly increased expression of the costimulatory molecules CD80 and CD86 on monocytes and a slightly higher level of monocyte potential to stimulate syngeneic lymphocyte proliferation. Evaluation of OX40 expression in an in vitro antigen presentation model showed that blood CD4+ T lymphocytes from infected patients contain detectable number becoming activated by H. pylori antigens. In patients with H. pylori infection, the CD4+CCR6+ vs. CD4+CCR6- lymphocyte subset contains a larger number of H. pylori antigen-specific cells. In donors from comparison group lacking H. pylori infection, the presentation of H. pylori antigens in blood cell cultures and no significant effect on average CD4+ T-lymphocyte activation rates. Conclusion. The blood samples from patients with H. pylori infection contains CD4+ T cells becoming specifically activated in the presence of H. pylori antigens. Blood CD4+CCR6+ vs. CD4+CCR6- T cells from patients with H. pylori infection contain a greater number of antigen-specific lymphocytes.
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