Altered circulating memory T cells in vitiligo cases followed NB-UVB therapy.

Photodermatol Photoimmunol Photomed

Department of Dermatology, Hangzhou Third People's Hospital, Affiliated Hangzhou Dermatology Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Published: January 2022

Background: Vitiligo represents a commonly diagnosed autoimmune disease caused by the depletion of epidermal melanocytes. Many subsets of T cells contribute to vitiligo pathogenesis, including resident and circulating memory T cells.

Objectives: To analyze the amounts of CD4 and CD8 memory T-cell subsets in peripheral blood specimens from vitiligo patients and alterations caused by narrowband ultraviolet B (NB-UVB) phototherapy.

Methods: Circulating CD4 and CD8 central memory T (T ) and effector memory T (T ) cell frequencies in 33 patients with non-segmental vitiligo and 16 healthy donors were evaluated by flow cytometry. Related chemokine levels were also detected.

Results: Peripheral blood CD4 T and CD8 T counts were markedly reduced in vitiligo cases while they were higher in active vitiligo compared with stable vitiligo cases. Circulating CD8 T frequency in vitiligo was closely related to disease duration. Interestingly, CD4 T and CD8 T frequencies, alongside CXCL9 and CXCL10 amounts in peripheral blood of patients with vitiligo, were significantly decreased after NB-UVB phototherapy.

Conclusions: Decreased frequencies of circulating CD4 T and CD8 T by NB-UVB suggest a possible immunosuppressive effect of phototherapy. The chemokines CXCL9 and CXCL10 are the bridge between circulating and skin resident memory T cells. NB-UVB blocks the homing of circulating memory T cells into vitiligo lesions by down-regulating CXCL9 and CXCL10. Targeting the above proteins could provide novel, durable treatment options to cure and prevent flares of this disease.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9292791PMC
http://dx.doi.org/10.1111/phpp.12719DOI Listing

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