Key result
Acute myocardial infarction is associated with a significantly restricted percentage of peripheral αβ T cells, increased T cell activation, and a diminished diversity of the TCRβ immune repertoire.
Why the study?
Although acute myocardial infarction is characterized by an inflammatory process involving T cells, the profile of the immune microenvironment in AMI remains uncertain.
Case-Control (n=60)
No
Acute myocardial infarction is associated with aberrant αβ T cell distribution, activation, and a reconstituted TCRβ immune repertoire, highlighting the role of the immune microenvironment in AMI pathogenesis.
T cell profiling may refine post-AMI recovery monitoring; extends RCT evidence on immune repertoire dynamics in myocardial infarction.
BACKGROUND: Acute myocardial infarction (AMI) is characterized by an inflammatory process in which T cell plays a key role. However, the profile of immune microenvironment in AMI is still uncertain. High-throughput sequencing of T cell receptor (TCR) provides deep insight into monitoring the immune microenvironment. METHODS: 30 patients with AMI were enrolled and 30 healthy individuals were recruited as controls. Flow cytometer were used to analyze the distribution of αβ T cells and their CD69 expression from peripheral leukomonocytes. TCRβ repertoire library was amplified by two-round multiplex PCR and detected by next-generation sequencing (NGS). RESULTS: The percentage of αβ T cells in AMI patients were significantly restricted than those in healthy controls, while the highly activated αβ T cells along with distinguishing usage of variable (V), diversity (D) and joining (J) gene segments were also found in AMI patients. In addition, AMI induced a significantly restricted CDR3 amino acid (AA) diversity and remarkably reconstituted TCR immune repertoires. Finally, we identified several AMI-associated tendency of CDR3 AAs expression after AMI. CONCLUSIONS: Our work suggests that the aberrant αβ T cells distribution and activation may associated with the pathogenesis of AMI and demonstrates a reconstitution of TCRβ immune repertoire after AMI.
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Li et al. (2019) conducted a case-control in Acute myocardial infarction (n=60). Acute myocardial infarction vs. Healthy individuals was evaluated on TCRβ immune repertoire diversity and αβ T cell activation. Acute myocardial infarction is associated with a significantly restricted percentage of peripheral αβ T cells, increased T cell activation, and a diminished diversity of the TCRβ immune repertoire.
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