Immune Profiling of T Cells Infiltrating Vitreous Humor in Tubercular Uveitis

结核性葡萄膜炎玻璃体液中浸润 T 细胞的免疫分析

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作者:Ravi Kumar Sharma M.Sc, Vishali Gupta M.S, Reema Bansal M.S, Kusum Sharma M.D, Amod Gupta M.S, Naresh Sachdeva Ph.D

Conclusions

Our results indicate that local antigenic stimuli trigger T cell infiltration and activation of CD4 + T cells that are hyporesponsive to TLR9 stimulation. These infiltrating T cells might be responsible in further aggravating ocular inflammation.

Methods

Cells were collected from vitreous cassettes and peripheral blood of 8 tubercular uveitis and 5 control subjects, undergoing vitrectomy and analyzed by flow cytometry for cellular composition, activation status, proinflammatory cytokine expression, and uptake of TLR9 ligand, CpG ODN 2216.

Purpose

To assess cellular composition and local cytokine response in vitreous humor of tubercular uveitis.

Results

CD3 + T cells with equal proportion of CD4+ and CD8 + T cells formed major fraction of infiltrating cells. The vitreous humor showed higher expression of recent activation marker, CD69, and proinflammatory cytokines, IFN-γ and IL-17A, in CD4 + T cells as compared to peripheral blood. Lastly, intraocular CD4 + T cells showed reduced uptake of ODN 2216 than peripheral blood. Conclusions: Our results indicate that local antigenic stimuli trigger T cell infiltration and activation of CD4 + T cells that are hyporesponsive to TLR9 stimulation. These infiltrating T cells might be responsible in further aggravating ocular inflammation.

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