Treg cells are negatively correlated with increased memory B cells in pre-eclampsia while maintaining suppressive function on autologous B-cell proliferation

Am J Reprod Immunol. 2013 Dec;70(6):454-63. doi: 10.1111/aji.12154. Epub 2013 Aug 29.

Abstract

Problem: The objective of this study was to determine the simultaneous changes and the correlation between circulating regulatory T (Tregs) and B-cell subsets in normal pregnancy (NP) and pre-eclampsia (PE). Meanwhile, the regulatory function of Tregs on B-cell proliferation was evaluated in vitro.

Method of study: A total of 32 PE and 40 NP women matched for age, gestational age, and parity were included. Using flow cytometry, the percentages of peripheral blood Tregs and B-cell subsets were determined. Moreover, the regulatory function of Tregs on autologous B-cell proliferation in PE and NP was investigated in vitro by flow cytometry and analyzed by modfit software.

Results: The proportions (%) of CD4(+) Foxp3(+) (P < 0.001) and CD4(+) CD25(+) Foxp3(+) (P < 0.01) cells within total CD4(+) T cells were significantly decreased in PE as compared to those of NP. However, no difference was found in CD4(+) CD25(+) cells in CD4(+) T cell population. CD19(+) CD27(+) (P < 0.05) and CD19(+) CD27(+) IgD(+) (P < 0.01) B cells within CD19(+) B cells (%) in PE were higher than those of NP. Negative correlations between the percentage of CD4(+) CD25(+) Foxp3(+) in CD4(+) T cells and that of CD19(+) CD27(+) (r = -0.384, P < 0.05) and CD19(+) CD27(+) IgD(+) (r = -0.402, P < 0.05) in CD19(+) B cells were present in PE but not in NP. Furthermore, the in vitro study demonstrated a significant increase in B-cell proliferation in PE as compared to NP. Tregs in PE were able to suppress the proliferation and precursor frequency of autologous B cells (P < 0.05 each).

Conclusion: The study indicates that a negative correlation between Tregs and memory B cells is present in women with PE, characterized by a systemic decrease in Tregs and an increase in memory B cells. Although the quantitative deficit of Tregs is present in PE, the Tregs still have a suppressive role in autologous B-cell proliferation.

Keywords: Memory B cell; pre-eclampsia; pregnancy; regulatory T cell.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • B-Lymphocytes / cytology*
  • B-Lymphocytes / immunology*
  • Cell Proliferation
  • Female
  • Humans
  • Immunologic Memory / immunology*
  • Pre-Eclampsia / immunology*
  • Pre-Eclampsia / pathology
  • Pregnancy
  • Prospective Studies
  • T-Lymphocytes, Regulatory / immunology*