Identification and characteristics of a novel CD8αα T cell subset in a refractory myasthenia gravis patient

被引:0
作者
Liu, Yujia [1 ]
Sun, Hanxiao [2 ]
Xu, Yingchen [3 ]
Xuan, Binbin [2 ]
Xia, Guofang [4 ]
Tang, Jifeng [2 ]
Lin, Jinpiao [2 ]
Du, Ailian [5 ]
Sheng, Huiming [2 ]
机构
[1] Shanghai Jiao Tong Univ, Tongren Hosp, Sch Med, Dept Neurol, Shanghai 200336, Peoples R China
[2] Shanghai Jiao Tong Univ, Tongren Hosp, Sch Med, Dept Lab Med, Shanghai 200336, Peoples R China
[3] Fudan Univ, Dept Chem, Shanghai 200433, Peoples R China
[4] Shanghai Jiao Tong Univ, Peoples Hosp 6, Sch Med Affiliated, Dept Cardiol, Shanghai 200233, Peoples R China
[5] Shanghai Jiao Tong Univ, Songjiang Hosp, Sch Med, Dept Neurol, Shanghai 201699, Peoples R China
关键词
CD8 alpha alpha T cell; CD161 neg T cell; MAIT cell; Myasthenia gravis; Thymoma; RECEPTOR; THYMOMA;
D O I
10.1016/j.jneuroim.2025.578551
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Myasthenia gravis (MG) is an autoimmune disease that impairs neuromuscular transmission. Autoantibodies and cellular immunity mediate the immunopathology of MG, yet the mechanism of CD8+ T cells in this process remains elucidated. In this study, we discovered a novel subset of CD8 alpha alpha+ T cells in the peripheral blood of an 18-year-old Chinese man diagnosed as MG, who has undergone thymectomy and persistent myasthenia crisis. Designated as CD161neg T cell, this subset was characterized by TCR alpha beta+CD8 alpha alpha+PLZF+V alpha 7.2+ but notably lacked CD161, distinct from mucosal-associated invariant T (MAIT) cells known for high CD161. The patient exhibited unusually high levels of CD161neg T cells compared to other MG patients, which fluctuated with infections but not MG severity. RNA sequencing revealed that CD161neg T cells lacked the genes characteristic of mature MAIT cells including CCR6, CXCR6, ZBTB16, and IL18RAP, but expressed cytotoxic T cell-related genes GZMH and IFNG. This study shed new light on the heterogeneity and complexity of CD8 alpha alpha+ T cells in MG patients with thymoma.
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页数:9
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