Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (1): 151-155.doi: 10.3969/j.issn.2095-4344.2015.01.027

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Expression of CD4+CD25+ regulatory T cells in aged patients with acute myeloid leukemia

Bo Li-kui   

  1. Tieling Central Hospital, Tieling 112000, Liaoning Province, China
  • Revised:2014-12-03 Online:2015-01-01 Published:2015-01-01
  • About author:Bo Li-kui, Associate chief physician, Tieling Central Hospital, Tieling 112000, Liaoning Province, China

Abstract:

BACKGROUND: High expression of CD4+CD25+ regulatory T cells is proved to exist in many patients with malignant tumors in vivo. Recent studies have found that CD4+CD25+ regulatory T cells also show a high percentage of expression in the peripheral blood of patients with acute myeloid leukemia.
OBJECTIVE: To analyze the characteristics of expression of CD4+CD25+ regulatory T cells in aged patients with acute myeloid leukemia.
METHODS: Ninety-two patients with newly diagnosed acute myeloid leukemia were enrolled and divided into middle-young age group (< 60 years old, n=22) and aged observation group (> 60 years old, n=70). Thirty-two patients in the aged observation group underwent standardized chemotherapy and showed complete remission, who acted as complete remission group; and the remaining 38 patients acted as aged group, including  6 cases of M2, 19 cases of M3, 7 cases of M4, and 6 cases of M5 according to FAB classification. At the same period, another 42 healthy persons for hospital examination were selected as control group. Peripheral blood samples were extracted to detect the expression of CD4+CD25+ regulatory T cells. 
RESULTS AND CONCLUSION: The proportions of CD4+CD25high FOXP3+ Treg cells and CD4+FOXP3+ T cells in the aged and complete remission groups were higher than those in the control group (P < 0.01), and moreover, these two proportions were higher in the aged group than the complete remission group (P < 0.01). The proportions of CD4+CD25high FOXP3+ Treg cells and CD4+FOXP3+ T cells in the aged group were higher than those in the middle-young age group (P < 0.01). There were no difference in the proportions of CD4+CD25high FOXP3+ Treg cells and CD4+ FOXP3+T cells among different subgroups of the aged group (P > 0.05). The proportion of CD4+CD25high FOXP3+Treg cells in the peripheral blood was positively related to the proportion of CD4+FOXP3+ T cells in aged patients with acute myeloid leukemia (r=0.87, P=0.019). The proportion of CD4+CD25+ Treg cells in the aged patients with newly diagnosed acute myeloid leukemia is higher than that in healthy individuals and young patients with acute myeloid leukemia.


中国组织工程研究杂志出版内容重点:干细胞;骨髓干细胞;造血干细胞;脂肪干细胞;肿瘤干细胞;胚胎干细胞;脐带脐血干细胞;干细胞诱导;干细胞分化;组织工程


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Key words: Leukemia, Myeloid, Acute, Aged, Leukemia, T-Cell

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