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Spectral flow cytometry is an advanced immunological tool that enables comprehensive analysis of the immune system by simultaneously comparing innate and adaptive immune cells. Here, using a 40-colour antibody panel we advance our knowledge of innate and innate-like T cells by investigating chemokine receptors, activation and maturation markers not usually assessed on these populations and examine age-related effects to these immune cell subsets. We characterised phenotypic changes of peripheral blood mononuclear cells (PBMC) in three age groups: newborn (cord blood), adults aged 20-30 years, and adults aged 70-80 years, focusing on innate-like T cells and innate cells, including MAIT cells, NKT cells, γδ T cells, ILCs, and Natural Killer (NK) cells. We identify subsets of double-negative (DN) T cells (CD4-CD8-) and CD161+ T cells that increase in an age-related manner and exhibit a phenotype similar to innate-like T cells, MAIT cells and γδ T cells. Innate-like T cell subsets express similar patterns of the chemokine receptors and maturation markers CCR4, CCR6, CD27, CD38, CD57 and CD45RA, and resemble memory subsets of conventional CD4+ T cells and CD8+ T cells. We could detect ILCs in all age ranges, although the frequency of ILC1, ILC2, and ILC3 subsets decreased with age. Notably, we identify the NK maturation marker, CD57, as a universal marker that defines ageing populations of innate and adaptive immune cells. This study enhances our understanding of the ontogeny of human immune cells, highlighting significant age-related changes in the frequency and phenotype of immune cells.
Spectral flow cytometry is an advanced immunological tool that enables comprehensive analysis of the immune system by simultaneously comparing innate and adaptive immune cells. Here, using a 40-colour antibody panel we advance our knowledge of innate and innate-like T cells by investigating chemokine receptors, activation and maturation markers not usually assessed on these populations and examine age-related effects to these immune cell subsets. We characterised phenotypic changes of peripheral blood mononuclear cells (PBMC) in three age groups: newborn (cord blood), adults aged 20-30 years, and adults aged 70-80 years, focusing on innate-like T cells and innate cells, including MAIT cells, NKT cells, γδ T cells, ILCs, and Natural Killer (NK) cells. We identify subsets of double-negative (DN) T cells (CD4-CD8-) and CD161+ T cells that increase in an age-related manner and exhibit a phenotype similar to innate-like T cells, MAIT cells and γδ T cells. Innate-like T cell subsets express similar patterns of the chemokine receptors and maturation markers CCR4, CCR6, CD27, CD38, CD57 and CD45RA, and resemble memory subsets of conventional CD4+ T cells and CD8+ T cells. We could detect ILCs in all age ranges, although the frequency of ILC1, ILC2, and ILC3 subsets decreased with age. Notably, we identify the NK maturation marker, CD57, as a universal marker that defines ageing populations of innate and adaptive immune cells. This study enhances our understanding of the ontogeny of human immune cells, highlighting significant age-related changes in the frequency and phenotype of immune cells.
Colorectal cancer (CRC) can induce stresses on the immune system that can affect both the numbers and function of these cells and the ability of the tumours to evade immune-surveillance. Changes in immune functions can also occur during ageing and these may affect both the ability to fight infections and to protect against cancers. As the incidence of CRC is age-related, the aim of this work was to identify changes in immune cell subtypes that are specific to CRC and not merely due to age-related changes. The immunophenotypes of peripheral blood lymphocytes and monocytes of CRC patients and age-matched healthy controls (HC) were analysed using flow cytometry and surface marker staining. Compared to HC, a lower L:M ratio was observed starting from the early stages of CRC, while numbers of B lymphocytes were lower and CD4+ monocytes were higher in CRC patients. In most patients with CRC, the numbers of helper T cells were lower, while cytotoxic T cells and NK T cells together with CD4+ NKT and CD8+ NKT cells were higher: classical monocytes were lower while intermediate monocytes were higher throughout the stages of CRC, and HLA-DRlowmonocytes were also higher. NKbrightcells were higher while NKdimcells were lower in patients with large tumours. Most of the increased numbers of T cells and monocytes in CRC relate to immunosuppressive phenotypes that may aid tumour evasion. The increase in CD4+ monocytes is likely related to increased numbers of intermediate monocytes, and a threshold of 11.6% CD4+ monocytes can be used as diagnostic marker for CRC with a 60% sensitivity and 88% specificity.
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