Improvement of Treg immune response after treatment with tocilizumab in giant cell arteritis

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TitreImprovement of Treg immune response after treatment with tocilizumab in giant cell arteritis
Type de publicationJournal Article
Year of Publication2021
AuteursSamson M, Greigert H, Ciudad M, Gerard C, Ghesquiere T, Trad M, Corbera-Bellalta M, Genet C, Ouandji S, Cladiere C, Thebault M, Ly KHeang, Liozon E, Maurier F, Bienvenu B, Terrier B, Guillevin L, Charles P, Quipourt V, Devilliers H, Gabrielle P-H, Creuzot-Garcher C, Tarris G, Martin L, Saas P, Audia S, Cid MCinta, Bonnotte B
JournalCLINICAL & TRANSLATIONAL IMMUNOLOGY
Volume10
Paginatione1332
Type of ArticleArticle
Mots-clésGiant Cell Arteritis, Interleukin-6, tocilizumab, Treg
Résumé

{Objectives. To study the percentage, suppressive function and plasticity of Treg in giant cell arteritis (GCA), and the effects of glucocorticoids and tocilizumab. Methods. Blood samples were obtained from 40 controls and 43 GCA patients at baseline and after treatment with glucocorticoids + IV tocilizumab (n = 20) or glucocorticoids (n = 23). Treg percentage and phenotype were assessed by flow cytometry. Suppressive function of Treg was assessed by measuring their ability to inhibit effector T-cell (Teff) proliferation and polarisation into Th1 and Th17 cells. Results. Treg (CD4(+)CD25(high)FoxP3(+)) frequency in total CD4(+) T cells was decreased in active GCA patients when compared to controls (2.5% vs. 4.7%, P < 0.001) and increased after treatment with tocilizumab but worsened after treatment with glucocorticoids alone. Treg lacking exon 2 of FoxP3 were increased in GCA patients when compared to controls (23% vs. 10% of total Treg

DOI10.1002/cti2.1332