Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2009-6-9
pubmed:abstractText
The mechanisms of action of extracorporeal photochemotherapy (ECP) in cutaneous T-cell lymphoma (CTCL) are poorly understood. Recently, ECP has been shown to induce an increase in regulatory T cell (Treg) expression and functional activities in Graft-versus-host-disease (GvHD), whereas no data are available in CTCL patients. The aim of this study is to evaluate whether ECP is able to modulate the expression levels of the circulating CD4+CD25+bright subset in CTCL patients and whether these modifications are related to the disease course. The patient population included 43 CTCL and 15 chronic GvHD patients treated by ECP at our institutions since 1992. The expression of the circulating CD4+CD25+bright subset was analysed at baseline and sequentially during treatment by flow-cytometry. Fifty healthy donors were used as controls. The baseline circulating CD4+CD25+bright percentage values in CTCL (median: 4.3 percent) were similar to those of healthy donors, whereas GvHD showed significantly lower values (median: 1.5 percent; p<0.001). During treatment, CTCL patients were characterised by an early decrease (from 4.3 percent to 2.4 percent median after 6 months). The CD4+CD25+bright decrease was associated to the disease course, as it occurred in 91.3 percent of responding but in only 25 percent of PD patients (p=0.0001). On the other hand, a significant increase of CD4+CD25+bright cells was observed in GvHD. ECP induces a reciprocal modulation of the circulating CD4+CD25+bright cells in CTCL and GvHD, with a downregulation in CTCL potentially associated with the response mechanisms.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0394-6320
pubmed:author
pubmed:issnType
Print
pubmed:volume
22
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
353-62
pubmed:meshHeading
pubmed-meshheading:19505389-Adult, pubmed-meshheading:19505389-Aged, pubmed-meshheading:19505389-Aged, 80 and over, pubmed-meshheading:19505389-CD4 Lymphocyte Count, pubmed-meshheading:19505389-CD4-Positive T-Lymphocytes, pubmed-meshheading:19505389-Case-Control Studies, pubmed-meshheading:19505389-Chronic Disease, pubmed-meshheading:19505389-Female, pubmed-meshheading:19505389-Flow Cytometry, pubmed-meshheading:19505389-Graft vs Host Disease, pubmed-meshheading:19505389-Humans, pubmed-meshheading:19505389-Interleukin-2 Receptor alpha Subunit, pubmed-meshheading:19505389-Lymphoma, T-Cell, Cutaneous, pubmed-meshheading:19505389-Male, pubmed-meshheading:19505389-Middle Aged, pubmed-meshheading:19505389-Photopheresis, pubmed-meshheading:19505389-Time Factors, pubmed-meshheading:19505389-Treatment Outcome, pubmed-meshheading:19505389-Young Adult
pubmed:articleTitle
Reciprocal modulation of circulating CD4+CD25+bright T cells induced by extracorporeal photochemotherapy in cutaneous T-cell lymphoma and chronic graft-versus-host-disease patients.
pubmed:affiliation
Department of Medical Sciences and Human Oncology, Section of Dermato-Oncology, University of Turin, Turin, Italy. pietro.quaglino@unito.it
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't