Regulatory T cells Are Increased and Correlate With Mast Cells in Eosinophilic Esophagitis

嗜酸性食管炎中调节性 T 细胞增多且与肥大细胞相关

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作者:Junji Chen, Tadayuki Oshima, Toshihiko Tomita, Hirokazu Fukui, Shinichiro Shinzaki

Aims

The incidence of eosinophilic esophagitis (EoE) has been increasing recently. The role of regulatory T cells (Tregs) and correlations with other inflammatory cells in EoE remain unknown. We aim to clarify the role of Tregs and their correlations with inflammatory cells in EoE patients.

Background/aims

The incidence of eosinophilic esophagitis (EoE) has been increasing recently. The role of regulatory T cells (Tregs) and correlations with other inflammatory cells in EoE remain unknown. We aim to clarify the role of Tregs and their correlations with inflammatory cells in EoE patients.

Conclusions

Tregs were increased in esophageal epithelium of patients with EoE, and correlated with mast cell infiltration.

Methods

Biopsies from controls and EoE patients before and after treatments were analyzed. Eosinophil infiltration was evaluated by hematoxylin and eosin staining. Immunohistochemical staining was performed to examine infiltration of T cells, Tregs, and mast cells. Gene expressions of chemokines were evaluated by reverse transcription-quantitative polymerase chain reaction.

Results

Tregs and mast cells were increased in the esophageal epithelial layers of EoE patients. After treatments, Tregs and mast cells were decreased when histologic remission was achieved. Infiltration of Tregs correlated significantly with numbers of eosinophils and mast cells. Filaggrin mRNA was decreased in patients with EoE before treatment and upregulated after treatment, even when histologic remission was not achieved. Conclusions: Tregs were increased in esophageal epithelium of patients with EoE, and correlated with mast cell infiltration.

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