Expression changes of CD47 on peripheral blood T-lymphocytes in aGVHD after allo-HSCT
10.3760/cma.j.issn.0254-1785.2016.05.004
- VernacularTitle:allo-HSCT后急性GVHD患者外周血中T淋巴细胞CD47表达变化的观察
- Author:
Qian WU
;
Fang ZHOU
;
Linna XIE
;
Ningxia SONG
;
Xin LI
- Publication Type:Journal Article
- Keywords:
Allogeneic hematopoietic stem cell transplantation;
Acute graft versus host disease;
T-lymphocyte subsets;
CD47
- From:
Chinese Journal of Organ Transplantation
2016;37(5):275-279
- CountryChina
- Language:Chinese
-
Abstract:
Objective To detect the change of CD47 on T-lymphocyte subsets marked by CD3 + CD4+ and CD3+ CD8+ in the acute graft versus host disease (aGVHD) after allogeneic hematopoietic stem cell transplantation (allo-HSCT) and to explore its clinical significance.Methods The peripheral blood of 30 patients was collected before and every two weeks from hematopoietic reconstitution after allo-HSCT.The expression of CD47 on T-lymphocyte subsets marked by CD3+ CD4+ and CD3+ CD8+ was detected by flow cytometry,and the relationship between their expression and the occurrence of aGVHD was analyzed.Results The percentage of CD3+ CD4+-and CD3+ CD8+-marked T-lymphocyte subsets showed no statistically significant difference between aGVHD group and non-aGVHDgroup [(38.95 ± 6.18)% vs.(37.38 ± 4.6)%,and (22.35 ± 3.32)% vs.(20.34 ±4.56) %,respectively] (P>0.05).The expression levels of CD47 on T-lymphocyte subsets marked by CD3+ CD4+ and CD3+ CD8+ was obviously increased in aGVHD group when compared to before transplantation and non-aGVHD group after transplantation,and that had no changes in non-aGVHD group when compared to before conditioning regimen after transplantation.Mean fluorescence intensity of CD47 on T-lymphocyte subsets marked by CD3+ CD4+ and CD3+ CD8+ [(93.70 ± 14.88) and (70.09 ± 12.51)] in aGVHD group significantly increased as compared with non-aGVHD group [(71.27-± 11.32) and (53.93 ± 8.35)] (P<0.05).There was no significant difference in the expression of CD47 on T-lymphocyte subsets marked by CD3+ CD4+ and CD3+ CD8+ before and after transplantation in non-aGVHD group (P>0.05).Moreover the expression of CD47 on T-lymphocyte subsets marked by CD3 + CD4 + and CD3 + CD8 + changed correspondingly with the outcome of aGVHD in aGVHD group.Conclusion The change of CD47 on T-lymphocyte subsets marked by CD3+ CD4+ andCD3+ CD8+ is valuable to monitor the aGVHD after allo-HSCT,which may provide a new means for the early detection of aGVHD.