REGULATORY T-CELLS IN ACUTE ISCHEMIC STROKE AND THEIR RELATION WITH INFLAMMATORY RESPONSE AND DEVELOPMENT OF INFECTIOUS COMPLICATIONS

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Abstract

The study has demonstrated a signifi cant increase in percentage of circulating CD4+CD25hi regulatory T cells and a decrease in Th1 (CD4+IFNγ+ N cells), as well as elevated leukocyte count, neutrophil-tolymphocyte ratio and CRP level during the first 24–48 hours after onset of ischemic stroke (IS). O note, patients with poststroke infection had less pronounced increase in CD4+CD25hi T-cells and the decrease in CD4+IFNγ+ T lymphocytes, while inflammatory response was significantly higher than in the opposite group. The largest difference between groups was observed when assessing the ratio of CD4+IFNγ+ and CD4+CD25hi T cells. The ratio of CD4+IFNγ+/ CD4+CD25hi in patients with infections was 3 times higher than in the group without infectious complications, correlated with the concentration of CRP (R = 0.54; p = 0.02) and the value of ratio > 1.14 allowed to predict infection with a specificity of 85.7% and a sensitivity of 68.8%. 

About the authors

S. A. Morozov

Research Institute of Fundamental and Clinical Immunology

Author for correspondence.
Email: el-gorra@mail.ru

post-graduate student, laboratory of cellular immunotherapy, 

Novosibirsk

Russian Federation

N. V. Pronkina

Research Institute of Fundamental and Clinical Immunology

Head of laboratory of clinical immunology,

Novosibirsk

Russian Federation

N. M. Starostina

Research Institute of Fundamental and Clinical Immunology

PhD, Head of Department of immunology,

Novosibirsk

Russian Federation

O. Y. Leplina

Research Institute of Fundamental and Clinical Immunology

MD, Leading Researcher,

Novosibirsk

Russian Federation

A. A. Ostanin

Research Institute of Fundamental and Clinical Immunology

MD, Chief Researcher,

Novosibirsk

Russian Federation

A. A. Shtobbe

City Clinical Hospital № 1

PhD, Head of Department of neurilogy,

Novosibirsk

Russian Federation

E. R. Chernykh

Research Institute of Fundamental and Clinical Immunology

MD, Corresponding Member of the Russian Academy of Sciences, Head of laboratory of cellular immunotherapy,

Novosibirsk

Russian Federation

References

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  5. Shi K., Wood K., Shi F., Wang X, Liu Q. Stroke-induced immunosuppression and poststroke infection. Stroke Vasc Neurol. 2018, 3, 34–41.

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Copyright (c) 2019 Morozov S.A., Pronkina N.V., Starostina N.M., Leplina O.Y., Ostanin A.A., Shtobbe A.A., Chernykh E.R.

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