Activity of cellular immunity in patients with nutrition-dependent diseases (obesity, type 2 diabetes)

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Abstract

The purpose of the study is to analyze the indicators of cellular immunity in patients with obesity (OB) and type 2 diabetes mellitus (DM2). The study included 15 patients with DM2 (DM2 group), body mass index (BMI) 37.36±1.12 kg/m2, 12 patients with OB (OB group), BMI – 38.12±1.51 kg/m2 and 15 practically healthy individuals (comparison group – GС): BMI 23.5±0.15 kg/m2. The study was performed on a flow cytometer FC-500 (Beckman Coulter, USA) using double combinations of monoclonal antibodies (Beckman Coulter – Immunotech SAS, France). The percentage indicators of the T cell population were assessed, such as total number of T lymphocytes (CD3+), number of T helper cells (CD3+CD4+), cytotoxic T lymphocytes (CD3+CD8+), natural killer cells – NK cells (CD3-CD16+CD56+), natural killer cells with the properties of T lymphocytes – NKT cells (CD3+CD16+CD56+) and B cell population (CD19+) lymphocytes, as well as the relative content of lymphocytes carrying activation markers (CD3+HLA-DR+, CD3+CD25+), and apoptosis marker antigen CD45+CD95+. The relative content of B lymphocytes and T lymphocytes in the peripheral blood of the examined individuals did not have statistically significant differences. In patients in the DM2 and OB groups, there was a tendency (p < 0.1) towards an increase in the relative content of T helper cells and a significant (p < 0.05) decrease in the percentage of T cytotoxic lymphocytes relative to GC. This redistribution of lymphocyte subpopulations led to a significant (p < 0.05) increase in the IRI value (arbitrary units): DM2 – 2.87±0.58; OB – 2.30±0.33 vs GC – 1.62±0.15. The relative content of NK cells and NKT cells in the peripheral blood of the examined individuals did not have a statistically significant difference in the magnitude of the indicators. A statistically significant (p < 0.05) increase in the relative content of T lymphocytes expressing the activation marker HLA-DR (CD3+HLA-DR+) was found in patients in the DM2 and OB groups relative to GC [(%) DM2 – 7.95±0, 81; OB – 6.54±0.24; GC – 4.01±0.91] and a significant (p < 0.05) increase in the percentage of CD45+CD95+ lymphocytes in patients with OB and DM2 relative to GC [(%) DM2 – 5.84±0.68; OB – 5.16±0.89; GC – 2.78±0.34]. The results obtained indicate the presence of meta-inflammation in patients with DM2 and OB.

About the authors

E. N. Trushina

Federal Research Centre of Nutrition, Biotechnology and Food Safety

Author for correspondence.
Email: trushina@ion.ru

PhD (Medicine), Head, Laboratory of Immunology

Russian Federation, Moscow

O. K. Mustafina

Federal Research Centre of Nutrition, Biotechnology and Food Safety

Email: trushina@ion.ru

PhD (Medicine), Senior Research Associate, Laboratory of Immunology

Russian Federation, Moscow

Kh. Kh. Sharafetdinov

Federal Research Centre of Nutrition, Biotechnology and Food Safety; Russian Medical Academy of Continuing Professional Education; I. Sechenov First Moscow State Medical University (Sechenov University)

Email: trushina@ion.ru

PhD, MD (Medicine), Head, Department of Metabolic Diseases and Diet Therapy of the Clinical Nutrition Clinic; Professor, Department of Dietetics and Nutritionology; Professor, Department of Food Hygiene and Toxicology

Russian Federation, Moscow; Moscow; Moscow

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Supplementary files

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2. Figure 1. Relative content of lymphocyte subpopulations in the peripheral blood of patients with DM2, OB and GC

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3. Figure 2. Expression of activation markers on lymphocytes in the peripheral blood of patients with DM2, OB and GC

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Copyright (c) 2024 Trushina E.N., Mustafina O.K., Sharafetdinov K.K.

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