Changes of regulatory T cells, transforming growth factor-beta and interleukin-10 in patients with type 1 diabetes mellitus: A systematic review and meta-analysis

被引:24
|
作者
Qiao, Yong-chao [1 ,3 ]
Shen, Jian [2 ]
Hong, Xue-zhi [2 ]
Liang, Ling [1 ,2 ]
Bo, Chao-sheng [1 ,2 ]
Sui, Yi [2 ]
Zhao, Hai-lu [1 ,2 ,3 ]
机构
[1] Guilin Med Univ, Fac Basic Med, Dept Immunol, Guilin 541004, Peoples R China
[2] Guilin Med Univ, Guangxi Key Lab Excellence, Diabet Syst Med, Guilin 541004, Peoples R China
[3] Cent S Univ, Dept Immunol, Sch Basic Med Sci, Changsha 410078, Hunan, Peoples R China
基金
中国国家自然科学基金;
关键词
Type I diabetes mellitus; Regulatory T cells; Transforming growth factor-beta; Interleukin-10; Meta-analysis; RESPONSES; PATHOGENESIS; SUPPRESSION; DEFECTS; FOXP3; RISK;
D O I
10.1016/j.clim.2016.08.004
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Regulatory T lymphocyte cells (Treg) associated with interleukin-10 (IL-10) and transforming growth factor-beta (TGF-beta) have implicated in the development of type 1 diabetes mellitus (T1DM), yet the existing evidence remains unclear. Hereby we performed a systematic review and meta-analysis to characterize the changes in T1DM patients. A total of 1407 T1DM patients and 1373 healthy controls from 40 case-control studies were eventually included in the pooling analysis. Compared with the controls, T1DM patients had decreased frequency of CD4(+)CD25(+)Treg (p = 0.0003), CD4(+)CD25(+)Foxp3(+)Treg (p = 0.020), and the level of TGF-beta (p = 0.030). Decrease in IL-10 (p = 0.14) was not significant. All the changes remained significant when the studies with low NOS scores and publication bias were excluded. In conclusion, peripheral Treg and serum TGF-beta are reduced in type 1 diabetes mellitus whereas changes in serum IL-10 are not significant. (C) 2016 Elsevier Inc. All rights reserved.
引用
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页码:61 / 69
页数:9
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