The Treg/Th17 Imbalance in Patients with Obstructive Sleep Apnoea Syndrome

Obstructive sleep apnoea syndrome (OSAS) is a chronic inflammatory disease regulated by T lymphocytes. Our purpose is to assess the pattern of Th17 cells and CD4+CD25+Foxp3+ regulatory T (Treg) cells in peripheral blood of patients with OSAS. Fourty-four OSAS men and 20 healthy volunteers were enrol...

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Main Authors: Jin Ye, Hui Liu, Gehua Zhang, Peng Li, Zhiyuan Wang, Shaotong Huang, Qintai Yang, Yuan Li
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/815308
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author Jin Ye
Hui Liu
Gehua Zhang
Peng Li
Zhiyuan Wang
Shaotong Huang
Qintai Yang
Yuan Li
author_facet Jin Ye
Hui Liu
Gehua Zhang
Peng Li
Zhiyuan Wang
Shaotong Huang
Qintai Yang
Yuan Li
author_sort Jin Ye
collection DOAJ
description Obstructive sleep apnoea syndrome (OSAS) is a chronic inflammatory disease regulated by T lymphocytes. Our purpose is to assess the pattern of Th17 cells and CD4+CD25+Foxp3+ regulatory T (Treg) cells in peripheral blood of patients with OSAS. Fourty-four OSAS men and 20 healthy volunteers were enrolled. Twenty-three patients were classified into mild to moderate group and 21 cases were classified into severe group according to the severity of OSAS. We detected the frequencies of Th17 and Treg and related serum cytokines secretion and expressions of key transcription factors. OSAS patients revealed significant increase in peripheral Th17 number, Th17-related cytokines (IL-17 and IL-6), and RORγt mRNA levels. They also presented a significant decrease in Treg number, Treg-related cytokines (TGF-β1), and Foxp3 mRNA levels as compared with normal persons. As a result, the Th17/Treg ratios were markedly more upregulated in OSAS patients than those in control group. Furthermore, the Th17/Treg ratio was positively related to the severity of OSAS and serum levels of C-reactive protein. The development of OSAS may be associated with peripheral Th17/Treg imbalance and characterized by a proinflammatory cytokine microenvironment. These results opened an alternative explanation for the substantial activation of immune cells in OSAS and the development of related complications.
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spelling doaj-art-5383650dd5fb4b3181e2718288e5fcf42025-02-03T05:45:40ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/815308815308The Treg/Th17 Imbalance in Patients with Obstructive Sleep Apnoea SyndromeJin Ye0Hui Liu1Gehua Zhang2Peng Li3Zhiyuan Wang4Shaotong Huang5Qintai Yang6Yuan Li7Sleep Disorders Centre and Department of Otolaryngology—Head and Neck Surgery, The Third Affiliated Hospital, Sun Yat-sen University, 600 Tianhe Street, Guangzhou, Guangdong 510630, ChinaDivision of Pulmonary and Critical Care, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-sen University, 600 Tianhe Street, Guangzhou, Guangdong 510630, ChinaSleep Disorders Centre and Department of Otolaryngology—Head and Neck Surgery, The Third Affiliated Hospital, Sun Yat-sen University, 600 Tianhe Street, Guangzhou, Guangdong 510630, ChinaSleep Disorders Centre and Department of Otolaryngology—Head and Neck Surgery, The Third Affiliated Hospital, Sun Yat-sen University, 600 Tianhe Street, Guangzhou, Guangdong 510630, ChinaSleep Disorders Centre and Department of Otolaryngology—Head and Neck Surgery, The Third Affiliated Hospital, Sun Yat-sen University, 600 Tianhe Street, Guangzhou, Guangdong 510630, ChinaSleep Disorders Centre, The Third Affiliated Hospital, Sun Yat-sen University, 600 Tianhe Street, Guangzhou, Guangdong 510630, ChinaSleep Disorders Centre and Department of Otolaryngology—Head and Neck Surgery, The Third Affiliated Hospital, Sun Yat-sen University, 600 Tianhe Street, Guangzhou, Guangdong 510630, ChinaSleep Disorders Centre and Department of Otolaryngology—Head and Neck Surgery, The Third Affiliated Hospital, Sun Yat-sen University, 600 Tianhe Street, Guangzhou, Guangdong 510630, ChinaObstructive sleep apnoea syndrome (OSAS) is a chronic inflammatory disease regulated by T lymphocytes. Our purpose is to assess the pattern of Th17 cells and CD4+CD25+Foxp3+ regulatory T (Treg) cells in peripheral blood of patients with OSAS. Fourty-four OSAS men and 20 healthy volunteers were enrolled. Twenty-three patients were classified into mild to moderate group and 21 cases were classified into severe group according to the severity of OSAS. We detected the frequencies of Th17 and Treg and related serum cytokines secretion and expressions of key transcription factors. OSAS patients revealed significant increase in peripheral Th17 number, Th17-related cytokines (IL-17 and IL-6), and RORγt mRNA levels. They also presented a significant decrease in Treg number, Treg-related cytokines (TGF-β1), and Foxp3 mRNA levels as compared with normal persons. As a result, the Th17/Treg ratios were markedly more upregulated in OSAS patients than those in control group. Furthermore, the Th17/Treg ratio was positively related to the severity of OSAS and serum levels of C-reactive protein. The development of OSAS may be associated with peripheral Th17/Treg imbalance and characterized by a proinflammatory cytokine microenvironment. These results opened an alternative explanation for the substantial activation of immune cells in OSAS and the development of related complications.http://dx.doi.org/10.1155/2012/815308
spellingShingle Jin Ye
Hui Liu
Gehua Zhang
Peng Li
Zhiyuan Wang
Shaotong Huang
Qintai Yang
Yuan Li
The Treg/Th17 Imbalance in Patients with Obstructive Sleep Apnoea Syndrome
Mediators of Inflammation
title The Treg/Th17 Imbalance in Patients with Obstructive Sleep Apnoea Syndrome
title_full The Treg/Th17 Imbalance in Patients with Obstructive Sleep Apnoea Syndrome
title_fullStr The Treg/Th17 Imbalance in Patients with Obstructive Sleep Apnoea Syndrome
title_full_unstemmed The Treg/Th17 Imbalance in Patients with Obstructive Sleep Apnoea Syndrome
title_short The Treg/Th17 Imbalance in Patients with Obstructive Sleep Apnoea Syndrome
title_sort treg th17 imbalance in patients with obstructive sleep apnoea syndrome
url http://dx.doi.org/10.1155/2012/815308
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