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Cent Eur J Immunol. 2014;39(3):338-44. doi: 10.5114/ceji.2014.45945. Epub 2014 Oct 14.

CD4+CD25(high), CD8+CD28- cells and thyroid autoantibodies in breast cancer patients.

Central-European journal of immunology

Oğuz Biylgi, Bülent Karagöz, Orhan Türken, Mustafa Gültepe, Alpaslan Özgün, Tolga Tunçel, Levent Emirzeoğlu, Serkan Çelik, Tuba Müftüoğlu, Emin Gökhan Kandemir

Affiliations

  1. Department of Medical Oncology, GATA Haydarpasa Hospital, Istanbul, Turkey.
  2. Department of Medical Oncology, Maltepe University, Istanbul, Turkey.
  3. Department of Biochemistry, GATA Haydarpasa Hospital, Istanbul, Turkey.
  4. Department of Medical Oncology, Memorial Hospital, Istanbul, Turkey.

PMID: 26155145 PMCID: PMC4439998 DOI: 10.5114/ceji.2014.45945

Abstract

AIM OF THE STUDY: To investigate the percentage of CD4+CD25(high) cells (including Treg cells) and CD8+CD28- cells in breast cancer patients with and without high levels of autoimmune thyroid antibodies.

MATERIAL AND METHODS: Thirty-five women with breast cancer (9 of them having high thyroid antibodies) and fourteen healthy subjects were enrolled in this study. Flow cytometry was used to count CD4+CD25(high) cells and CD8+CD28- suppressive cells (CD8 cell subtypes).

RESULTS: In the patient group, the percentage of CD28- cells in CD8+ lymphocytes were higher [67.50% (55.1180.33) vs. 51.56% (42.5766.38); p = 0.021] and the percentage of CD28+CD45RO- cells (memory cells) in CD8+ lymphocytes were lower than in the control group. CD4+CD25(high) cell percentage in CD4+ lymphocytes was elevated in the patient group [6.44% (4.528.74) vs. 2.97% (1.724.34); p < 0.001]. When the cytometric parameters were compared between patients (with high vs. normal thyroid antibodies), the distribution of CD8+ cell subgroups was also similar. CD4+CD25(high) cells among CD4+ lymphocytes were decreased in patients with high levels of thyroid antibodies [5.19% (3.426.17) vs. 6.99% (4.829.95); p = 0.043].

CONCLUSIONS: CD4+CD25(high) cells may play a role in autoimmunity of breast cancer patients, and may be a predictive marker. Advanced studies which evaluate the possible links between regulatory cells and autoimmunity should be established in cancer patients.

Keywords: Treg cells; autoimmunity; breast cancer; thyroid antibody

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