Intracerebral Human Regulatory T Cells: Analysis of CD4+CD25+FOXP3+ T Cells in Brain Lesions and Cerebrospinal Fluid of Multiple Sclerosis Patients
2011

Study of T Cells in Multiple Sclerosis Patients

Sample size: 33 publication 10 minutes Evidence: moderate

Author Information

Author(s): Fritzsching Benedikt, Haas Jürgen, König Fatima, Kunz Pierre, Fritzsching Eva, Pöschl Johannes, Krammer Peter H., Brück Wolfgang, Suri-Payer Elisabeth, Wildemann Brigitte

Primary Institution: University Hospital of Heidelberg

Hypothesis

Is Treg dysfunction in MS patients limited to reduced control of peripheral T cell activation?

Conclusion

The study found low numbers of FOXP3+ T cells in MS brain lesions, while Treg were abundant in cerebrospinal fluid.

Supporting Evidence

  • FOXP3+ T cells were detected in active lesions but were absent in 30% of biopsies.
  • Treg were present in all CSF samples analyzed.
  • Apoptosis-sensitive Treg were enriched in CSF compared to peripheral blood.
  • Significant differences in Treg frequencies were observed between CSF and peripheral blood.

Takeaway

This study looked at special immune cells in the brains of people with multiple sclerosis and found that these cells are often missing from the lesions.

Methodology

The study used immunohistochemistry and six-color flow cytometry to analyze Treg in brain biopsies and cerebrospinal fluid from MS patients.

Potential Biases

Potential bias due to the selection of patients and the methods used for analysis.

Limitations

The study is limited by the small sample size and the focus on treatment-naïve patients.

Participant Demographics

Patients included 16 with brain biopsies and 17 with CSF samples, all newly diagnosed with relapsing-remitting MS.

Statistical Information

P-Value

0.019

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0017988

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