Leptin regulates the proliferati on of peripheral regulatory T cells via increasing interleukin-6 in rheumatoid arthritis patients
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.issn.1007-7480.2018.10.003
   		
        
        	
        		- VernacularTitle:瘦素通过白细胞介素-6调控类风湿关节炎患者外周血调节性T细胞的增殖
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Yunshan YE
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Han LI
			        		
			        		;
		        		
		        		
		        		
			        		Xunli OUYANG
			        		
			        		;
		        		
		        		
		        		
			        		Qihang YUAN
			        		
			        		;
		        		
		        		
		        		
			        		Bing WANG
			        		
			        		;
		        		
		        		
		        		
			        		Yan ZHANG
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 116044,大连医科大学基础医学院免疫学教研室
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Leptin;
			        		
			        		
			        		
				        		Athritis,rheumatoid;
			        		
			        		
			        		
				        		Peripheral blood mononuclear cells;
			        		
			        		
			        		
				        		Regulatory T cells;
			        		
			        		
			        		
				        		Iinterleukin-6
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Rheumatology
	            		
	            		 2018;22(10):660-663
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Objective To investigate the influence of Leptin on the proliferation of peripheral blood regulatory T cells in patients with rheumatoid arthritis (RA).Methods Peripheral blood mononuclear cells (PBMCs) were isolated from 6 RA patients.RA PBMCs were stimulated with anti-CD3 (3 μg/ml)/anti-CD28(2 μg/ml) antibody for 72 h,anti-CD3 (3 μg/ml)/anti-CD28 (2 μg/ml) antibody and Leptin (100 ng/ml) for 72 h,anti-CD3 (3 μg/ml)/anti-CD28 (2 μg/ml) antibody and Leptin (100 ng/ml) and interleukin (IL)-6 receptor antagonist (0.5 μg/ml) for 72 h.Regulatory T cells (Treg) were detected by flow cetometry.IL-6 level and TGF-βlevels in the supernatants of RA PBMCs culture were detected by Enzyme linked immunosorbent assay(ELISA).Statistical analysis between the two groups were performed by Wilcoxon Signed Rank Test.Results ①) Our results suggested that compared to the control group,RA PBMCs were stimulated by leptin for 72 h had lower percentage of Treg[13.6(11.6,14.8)% vs 9.8(7.0,10.0)%,Z=-2.201,P<0.05];Compared to the control group,the level of IL-6 and TGF-β were elevated when RA PBMCs treated with leptin for 72 h [548.9(508.6,608.4)ng/L vs 631.8(538.4,672.6) ng/L,Z=-1.992,P<0.05;1175.0(1 045.4,1 373.1) ng/L vs 1 580.2(1 315.3,1 906.5) ng/L,Z=-2.201,P<0.05];② The percentage of Peripheral Treg was increased [9.8(7.0,10.0)% vs 12.3(9.7,13.8)%,Z=-1.997,P<0.05] and the level of IL-6 was decreased [631.8(538.4,672.6) ng/L vs 522.7(339.3,593.3) ng/L,Z=-2.201,P<0.05] when RA PBMCs was stimulated with IL-6 receptor antagonist and anti-CD3/anti-CD28 antibody and Leptin for 72 h.Conclusion The study has shown that Leptin can down-regulate the percentage of RA peripheral blood Treg via increasing IL-6 secretion.