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Table 1 Frequency of Tregs in situ (lesions biopsy), ex vivo (peripheral blood), and in in vitro stimulated PBMC, and CTLA-4 expression by the Tregs, in the transplant recipient as compared with the T1R group

From: Severe type 1 upgrading leprosy reaction in a renal transplant recipient: a paradoxical manifestation associated with deficiency of antigen-specific regulatory T-cells?

 

In situ (biopsy) cells/mm2

Ex vivo (PB) %

In vitro (expansion) %

 

Treg

Trega

CTLA-4b

Trega

CTLA-4b

    

Medium

ML

PHA

Medium

ML

PHA

At diagnosis

71

-

-

-

-

-

-

-

-

Severe reaction

55

0.8

4.1

0.03

0.93

3.0

0.0

0.3

33.6

Remission

(4 months)

-

1.2

6.0

1.0

1.72

15.5

0.2

0.9

44.5

Remission

(2 years)

-

2.35

-

2.0

2.65

22.8

-

-

-

T1R groupc

170 ± 23

3.4 ± 0.4

24.9 ± 4.8

2.3 ± 0.3

6.9 ± 0.7

18.9 ± 1.4

13.8 ± 3.6

17.8 ± 4.7

72 ± 5.9

  1. PB peripheral blood, PBMC peripheral blood mononuclear cells, Treg regulatory T-cells, ML Mycobacterium leprae antigen, PHA phytohemaglutinnin, T1R type 1 upgrading leprosy reaction
  2. aPercentage of FoxP3+CD127low/− among CD4+CD25+ cells
  3. bPercentage of CTLA-4+ cells among Tregs
  4. cPatients with severe T1R without immunosuppressors (n = 14). Results presented as mean ± SEM