Peripheral T cell profiling reveals downregulated exhaustion marker and increased diversity in lymphedema post-lymphatic venous anastomosis

Summary: Lymphedema is a progressive condition accompanying cellulitis and angiosarcoma, suggesting its association with immune dysfunction. Lymphatic venous anastomosis (LVA) can provide relief from cellulitis and angiosarcoma. However, the immune status of peripheral T cells during lymphedema and...

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Main Authors: Hirofumi Imai, Takakazu Kawase, Shuhei Yoshida, Toshiro Mese, Solji Roh, Asuka Fujita, Toshio Uchiki, Ayano Sasaki, Shogo Nagamatsu, Atsushi Takazawa, Tatsuo Ichinohe, Isao Koshima
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:iScience
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589004223008994
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author Hirofumi Imai
Takakazu Kawase
Shuhei Yoshida
Toshiro Mese
Solji Roh
Asuka Fujita
Toshio Uchiki
Ayano Sasaki
Shogo Nagamatsu
Atsushi Takazawa
Tatsuo Ichinohe
Isao Koshima
author_facet Hirofumi Imai
Takakazu Kawase
Shuhei Yoshida
Toshiro Mese
Solji Roh
Asuka Fujita
Toshio Uchiki
Ayano Sasaki
Shogo Nagamatsu
Atsushi Takazawa
Tatsuo Ichinohe
Isao Koshima
author_sort Hirofumi Imai
collection DOAJ
description Summary: Lymphedema is a progressive condition accompanying cellulitis and angiosarcoma, suggesting its association with immune dysfunction. Lymphatic venous anastomosis (LVA) can provide relief from cellulitis and angiosarcoma. However, the immune status of peripheral T cells during lymphedema and post-LVA remains poorly understood. Using peripheral blood T cells from lymphedema, post-LVA, and healthy controls (HCs), we compared the profile of T cell subsets and T cell receptor (TCR) diversity. PD-1+ Tim-3 + expression was downregulated in post-LVA compared with lymphedema. IFN-γ levels in CD4+PD-1+ T cells and IL-17A levels in CD4+ T cells were downregulated in post-LVA compared with lymphedema. TCR diversity was decreased in lymphedema compared with HCs; such TCR skewing was drastically improved in post-LVA. T cells in lymphedema were associated with exhaustion, inflammation, and diminished diversity, which were relieved post-LVA. The results provide insights into the peripheral T cell population in lymphedema and highlight the immune modulatory importance of LVA.
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spelling doaj.art-afee97693f3b48eaa3f81187993d65062023-05-20T04:30:41ZengElsevieriScience2589-00422023-06-01266106822Peripheral T cell profiling reveals downregulated exhaustion marker and increased diversity in lymphedema post-lymphatic venous anastomosisHirofumi Imai0Takakazu Kawase1Shuhei Yoshida2Toshiro Mese3Solji Roh4Asuka Fujita5Toshio Uchiki6Ayano Sasaki7Shogo Nagamatsu8Atsushi Takazawa9Tatsuo Ichinohe10Isao Koshima11International Center for Lymphedema, Hiroshima University Hospital, Hiroshima 734-8551, Japan; Corresponding authorDepartment of Hematology and Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima 734-8553, Japan; International Center for Cell and Gene Therapy, Fujita Health University, Toyoake, Aichi 470-1192, JapanInternational Center for Lymphedema, Hiroshima University Hospital, Hiroshima 734-8551, JapanInternational Center for Lymphedema, Hiroshima University Hospital, Hiroshima 734-8551, JapanInternational Center for Lymphedema, Hiroshima University Hospital, Hiroshima 734-8551, JapanDepartment of Plastic and Reconstructive Surgery, Hiroshima University Hospital, Hiroshima 734-8551, JapanDepartment of Plastic and Reconstructive Surgery, Hiroshima University Hospital, Hiroshima 734-8551, JapanDepartment of Plastic and Reconstructive Surgery, Hiroshima University Hospital, Hiroshima 734-8551, JapanDepartment of Plastic and Reconstructive Surgery, Hiroshima University Hospital, Hiroshima 734-8551, JapanDepartment of Orthopaedic Surgery, Hiroshima Hiramatsu Hospital, Hiroshima 732-0816, JapanDepartment of Hematology and Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima 734-8553, JapanInternational Center for Lymphedema, Hiroshima University Hospital, Hiroshima 734-8551, Japan; Department of Plastic and Reconstructive Surgery, Hiroshima University Hospital, Hiroshima 734-8551, JapanSummary: Lymphedema is a progressive condition accompanying cellulitis and angiosarcoma, suggesting its association with immune dysfunction. Lymphatic venous anastomosis (LVA) can provide relief from cellulitis and angiosarcoma. However, the immune status of peripheral T cells during lymphedema and post-LVA remains poorly understood. Using peripheral blood T cells from lymphedema, post-LVA, and healthy controls (HCs), we compared the profile of T cell subsets and T cell receptor (TCR) diversity. PD-1+ Tim-3 + expression was downregulated in post-LVA compared with lymphedema. IFN-γ levels in CD4+PD-1+ T cells and IL-17A levels in CD4+ T cells were downregulated in post-LVA compared with lymphedema. TCR diversity was decreased in lymphedema compared with HCs; such TCR skewing was drastically improved in post-LVA. T cells in lymphedema were associated with exhaustion, inflammation, and diminished diversity, which were relieved post-LVA. The results provide insights into the peripheral T cell population in lymphedema and highlight the immune modulatory importance of LVA.http://www.sciencedirect.com/science/article/pii/S2589004223008994Health sciencesImmunologyComponents of the immune system
spellingShingle Hirofumi Imai
Takakazu Kawase
Shuhei Yoshida
Toshiro Mese
Solji Roh
Asuka Fujita
Toshio Uchiki
Ayano Sasaki
Shogo Nagamatsu
Atsushi Takazawa
Tatsuo Ichinohe
Isao Koshima
Peripheral T cell profiling reveals downregulated exhaustion marker and increased diversity in lymphedema post-lymphatic venous anastomosis
iScience
Health sciences
Immunology
Components of the immune system
title Peripheral T cell profiling reveals downregulated exhaustion marker and increased diversity in lymphedema post-lymphatic venous anastomosis
title_full Peripheral T cell profiling reveals downregulated exhaustion marker and increased diversity in lymphedema post-lymphatic venous anastomosis
title_fullStr Peripheral T cell profiling reveals downregulated exhaustion marker and increased diversity in lymphedema post-lymphatic venous anastomosis
title_full_unstemmed Peripheral T cell profiling reveals downregulated exhaustion marker and increased diversity in lymphedema post-lymphatic venous anastomosis
title_short Peripheral T cell profiling reveals downregulated exhaustion marker and increased diversity in lymphedema post-lymphatic venous anastomosis
title_sort peripheral t cell profiling reveals downregulated exhaustion marker and increased diversity in lymphedema post lymphatic venous anastomosis
topic Health sciences
Immunology
Components of the immune system
url http://www.sciencedirect.com/science/article/pii/S2589004223008994
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