Why the study?
This study aimed to investigate the T-cell receptor repertoire in patients with acute coronary syndrome.
Are there differences in the T-cell receptor repertoire between patients with acute coronary syndrome and those with normal coronary arteries?
Are there differences in the T-cell receptor repertoire between patients with acute coronary syndrome and those with normal coronary arteries?
Patients with acute coronary syndrome exhibit distinct T-cell receptor repertoires with reduced diversity and disease-associated clonotypes, suggesting an immunological component in ACS pathogenesis.
TCR repertoire shifts in ACS support mechanistic inquiry; should not alter practice without prospective validation.
BACKGROUND: This study aims to investigate the T-cell receptor (TCR) repertoire in patients with acute coronary syndrome (ACS). METHODS: The TCR repertoires of 9 unstable angina patients (UA), 14 acute myocardial infarction patients (AMI) and 9 normal coronary artery (NCA) patients were profiled using high-throughput sequencing (HTS). The clonal diversity of the TCR repertoires in different groups was analyzed, as well as the frequencies of variable (V), diversity (D) and joining(J) gene segments. RESULTS: ACS patients including UA and AMI, showed reduced TCRβ diversity than NCA patients. ACS patients presented higher levels of clonal expansion. The clonotype overlap of complementarity determining region 3(CDR3) was significantly varied between different groups. A total of 10 V genes and 1 J gene were differently utilized between ACS and NCA patients. We identified some shared CDR3 amino acid sequences that were presented in ACS but not in NCA patients. CONCLUSIONS: This study revealed the distinct TCR repertoires in patients with ACS and demonstrated the presence of disease associated T-cell clonotypes. These findings suggested a role of T cells in ACS and provided a new way to explore the mechanisms of ACS.
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Liu et al. (2020) studied this question.
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