Decreased Regulatory T Cells in Vulnerable Atherosclerotic Lesions: Imbalance between Pro- and Anti-Inflammatory Cells in Atherosclerosis

Atherosclerosis is a chronic inflammatory disease of the arterial wall in which presentation of autoantigens by dendritic cells (DCs) leads to the activation of T cells. Anti-inflammatory cells like Tregs counterbalance inflammation in atherogenesis. In our study, human carotid plaque specimens were...

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Main Authors: Ilonka Rohm, Yevgeniya Atiskova, Stefanie Drobnik, Michael Fritzenwanger, Daniel Kretzschmar, Rudin Pistulli, Jürgen Zanow, Thomas Krönert, Gita Mall, Hans Reiner Figulla, Atilla Yilmaz
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2015/364710
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author Ilonka Rohm
Yevgeniya Atiskova
Stefanie Drobnik
Michael Fritzenwanger
Daniel Kretzschmar
Rudin Pistulli
Jürgen Zanow
Thomas Krönert
Gita Mall
Hans Reiner Figulla
Atilla Yilmaz
author_facet Ilonka Rohm
Yevgeniya Atiskova
Stefanie Drobnik
Michael Fritzenwanger
Daniel Kretzschmar
Rudin Pistulli
Jürgen Zanow
Thomas Krönert
Gita Mall
Hans Reiner Figulla
Atilla Yilmaz
author_sort Ilonka Rohm
collection DOAJ
description Atherosclerosis is a chronic inflammatory disease of the arterial wall in which presentation of autoantigens by dendritic cells (DCs) leads to the activation of T cells. Anti-inflammatory cells like Tregs counterbalance inflammation in atherogenesis. In our study, human carotid plaque specimens were classified as stable (14) and unstable (15) according to established morphological criteria. Vessel specimens (n=12) without any signs of atherosclerosis were used as controls. Immunohistochemical staining was performed to detect different types of DCs (S100, fascin, CD83, CD209, CD304, and CD123), proinflammatory T cells (CD3, CD4, CD8, and CD161), and anti-inflammatory Tregs (FoxP3). The following results were observed: in unstable lesions, significantly higher numbers of proinflammatory cells like DCs, T helper cells, cytotoxic T cells, and natural killer cells were detected compared to stable plaques. Additionally, there was a significantly higher expression of HLA-DR and more T cell activation (CD25, CD69) in unstable lesions. On the contrary, unstable lesions contained significantly lower numbers of Tregs. Furthermore, a significant inverse correlation between myeloid DCs and Tregs was shown. These data suggest an increased inflammatory state in vulnerable plaques resulting from an imbalance of the frequency of local pro- and anti-inflammatory immune cells.
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spelling doaj-art-24b32f35977b4aa5b22be95125cfd55d2025-02-03T06:12:23ZengWileyMediators of Inflammation0962-93511466-18612015-01-01201510.1155/2015/364710364710Decreased Regulatory T Cells in Vulnerable Atherosclerotic Lesions: Imbalance between Pro- and Anti-Inflammatory Cells in AtherosclerosisIlonka Rohm0Yevgeniya Atiskova1Stefanie Drobnik2Michael Fritzenwanger3Daniel Kretzschmar4Rudin Pistulli5Jürgen Zanow6Thomas Krönert7Gita Mall8Hans Reiner Figulla9Atilla Yilmaz10Department of Internal Medicine I, Friedrich-Schiller-University, 07747 Jena, GermanyDepartment of Internal Medicine I, Friedrich-Schiller-University, 07747 Jena, GermanyInstitute of Forensic Medicine, Friedrich-Schiller-University, 07743 Jena, GermanyDepartment of Internal Medicine I, Friedrich-Schiller-University, 07747 Jena, GermanyDepartment of Internal Medicine I, Friedrich-Schiller-University, 07747 Jena, GermanyDepartment of Internal Medicine I, Friedrich-Schiller-University, 07747 Jena, GermanyDepartment of Vascular Surgery, Friedrich-Schiller-University, 07747 Jena, GermanyDepartment of Vascular Surgery, Thüringen Klinik Saalfeld, 07318 Saalfeld, GermanyInstitute of Forensic Medicine, Friedrich-Schiller-University, 07743 Jena, GermanyDepartment of Internal Medicine I, Friedrich-Schiller-University, 07747 Jena, GermanyDepartment of Internal Medicine I, Friedrich-Schiller-University, 07747 Jena, GermanyAtherosclerosis is a chronic inflammatory disease of the arterial wall in which presentation of autoantigens by dendritic cells (DCs) leads to the activation of T cells. Anti-inflammatory cells like Tregs counterbalance inflammation in atherogenesis. In our study, human carotid plaque specimens were classified as stable (14) and unstable (15) according to established morphological criteria. Vessel specimens (n=12) without any signs of atherosclerosis were used as controls. Immunohistochemical staining was performed to detect different types of DCs (S100, fascin, CD83, CD209, CD304, and CD123), proinflammatory T cells (CD3, CD4, CD8, and CD161), and anti-inflammatory Tregs (FoxP3). The following results were observed: in unstable lesions, significantly higher numbers of proinflammatory cells like DCs, T helper cells, cytotoxic T cells, and natural killer cells were detected compared to stable plaques. Additionally, there was a significantly higher expression of HLA-DR and more T cell activation (CD25, CD69) in unstable lesions. On the contrary, unstable lesions contained significantly lower numbers of Tregs. Furthermore, a significant inverse correlation between myeloid DCs and Tregs was shown. These data suggest an increased inflammatory state in vulnerable plaques resulting from an imbalance of the frequency of local pro- and anti-inflammatory immune cells.http://dx.doi.org/10.1155/2015/364710
spellingShingle Ilonka Rohm
Yevgeniya Atiskova
Stefanie Drobnik
Michael Fritzenwanger
Daniel Kretzschmar
Rudin Pistulli
Jürgen Zanow
Thomas Krönert
Gita Mall
Hans Reiner Figulla
Atilla Yilmaz
Decreased Regulatory T Cells in Vulnerable Atherosclerotic Lesions: Imbalance between Pro- and Anti-Inflammatory Cells in Atherosclerosis
Mediators of Inflammation
title Decreased Regulatory T Cells in Vulnerable Atherosclerotic Lesions: Imbalance between Pro- and Anti-Inflammatory Cells in Atherosclerosis
title_full Decreased Regulatory T Cells in Vulnerable Atherosclerotic Lesions: Imbalance between Pro- and Anti-Inflammatory Cells in Atherosclerosis
title_fullStr Decreased Regulatory T Cells in Vulnerable Atherosclerotic Lesions: Imbalance between Pro- and Anti-Inflammatory Cells in Atherosclerosis
title_full_unstemmed Decreased Regulatory T Cells in Vulnerable Atherosclerotic Lesions: Imbalance between Pro- and Anti-Inflammatory Cells in Atherosclerosis
title_short Decreased Regulatory T Cells in Vulnerable Atherosclerotic Lesions: Imbalance between Pro- and Anti-Inflammatory Cells in Atherosclerosis
title_sort decreased regulatory t cells in vulnerable atherosclerotic lesions imbalance between pro and anti inflammatory cells in atherosclerosis
url http://dx.doi.org/10.1155/2015/364710
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