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2016 ; 6
(ä): 27445
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CD8(+) T cells induce platelet clearance in the liver via platelet desialylation
in immune thrombocytopenia
#MMPMID27321376
Qiu J
; Liu X
; Li X
; Zhang X
; Han P
; Zhou H
; Shao L
; Hou Y
; Min Y
; Kong Z
; Wang Y
; Wei Y
; Liu X
; Ni H
; Peng J
; Hou M
Sci Rep
2016[Jun]; 6
(ä): 27445
PMID27321376
show ga
In addition to antiplatelet autoantibodies, CD8(+) cytotoxic T lymphocytes (CTLs)
play an important role in the increased platelet destruction in immune
thrombocytopenia (ITP). Recent studies have highlighted that platelet
desialylation leads to platelet clearance via hepatocyte asialoglycoprotein
receptors (ASGPRs). Whether CD8(+) T cells induce platelet desialylation in ITP
remains unclear. Here, we investigated the cytotoxicity of CD8(+) T cells towards
platelets and platelet desialylation in ITP. We found that the desialylation of
fresh platelets was significantly higher in ITP patients with positive
cytotoxicity of CD8(+) T cells than those without cytotoxicity and controls. In
vitro, CD8(+) T cells from ITP patients with positive cytotoxicity induced
significant platelet desialylation, neuraminidase-1 expression on the platelet
surface, and platelet phagocytosis by hepatocytes. To study platelet survival and
clearance in vivo, CD61 knockout mice were immunized and their CD8(+) splenocytes
were used. Platelets co-cultured with these CD8(+) splenocytes demonstrated
decreased survival in the circulation and increased phagocytosis in the liver.
Both neuraminidase inhibitor and ASGPRs competitor significantly improved
platelet survival and abrogated platelet clearance caused by CD8(+) splenocytes.
These findings suggest that CD8(+) T cells induce platelet desialylation and
platelet clearance in the liver in ITP, which may be a novel mechanism of ITP.