Diagnostic value of circulating microRNA-208a in differentiation of preserved from reduced ejection fraction heart failure.

Background: There is no satisfactory answer on the specific biomarker that might be used in differentiating heart failure with reduced EF (HFrEF), allowing for inadequacy of N-terminal prohormone brain natriuretic peptide (NT-proBNP).

Objectives: We aim to evaluate the value of microRNA-208a in diagnosing HFrEF patients.

Methods: We included 120 HF patients and 60 healthy volunteers.

High affinity of interaction between superantigen and T cell receptor Vbeta molecules induces a high level and prolonged expansion of superantigen-reactive CD4+ T cells.

In mice implanted with an osmotic pump filled with the superantigen (SAG) staphylococcal enterotoxin A (SEA), the Vβ3(+)CD4(+) T cells exhibited a high level of expansion whereas the Vβ11(+)CD4(+) T cells exhibited a mild level of expansion. In contrast, in mice implanted with an osmotic pump filled with SE-like type P (SElP, 78.1% homologous with SEA), the Vβ11(+)CD4(+) T cells exhibited a high level of expansion while the Vβ3(+)CD4(+) T cells exhibited a low level of expansion, suggesting that the level of the SAG-induced response is determined by the affinities between the TCR Vβ molecules and SAG.

Interaction between superantigen and T-cell receptor Vbeta element determines levels of superantigen-dependent cell-mediated cytotoxicity of CD8(+) T cells in induction and effector phases.

Specific superantigens activate different T-cell fractions with distinct TCR V beta elements in association with MHC class II molecules and also induce SDCC against MHC class II(+) target cells. In the present study, to determine whether the responsiveness of each CD8(+) T-cell fraction expressing a different TCR V beta element is primarily determined by the TCR V beta, we compared the levels of proliferation and SDCC in V beta3(+) and V beta11(+) T cells upon stimulation with SEA. Upon stimulation with SEA(wt), the levels of proliferation were higher in V beta3(+) T cells than in V beta11(+) T cells.