Abstract
The correlation between immunity and Parkinson’s disease was presented in many papers, which also discussed lymphocyte and natural killer cell. But these studies have yielded inconsistent results. To systematically review the relationship between the lymphocyte subsets/natural killer cell and the risk of Parkinson’s disease, we electronically searched the SpringerLink, Web of Science, Ebsco-medline with full text, Pubmed, Elsevier-ScienceDirect, Ovid-lww-oup, Wanfang Data for case-control trials on comparing the number of peripheral blood lymphocyte subsets and natural killer cell in Parkinson’s patients and healthy controls. According to the Cochrane methods, the reviewers selected literature, extracted data, and assessed the quality. Then, a meta-analysis was performed using RevMan 5.2. Finally, 21 case-control trials including 943 cases of Parkinson’s disease were fit into our data analysis. Meta-analysis showed that the decreased numbers of CD3+, CD4+ lymphocyte subsets and the increased number of natural killer cell were found in Parkinson’s disease patients. In the intermediate and late stage of PD, CD8+ lymphocyte subsets had a significant decrement. However, the number of B lymphocyte subsets had no significant association with Parkinson’s disease. The lymphocyte subsets and NK cell may be associated with the risk of Parkinson’s disease.
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References
Olanow CW, Tatton WG (1999) Etiology and pathogenesis of Parkinson’s disease. Annu Rev Neurosci 22:123–144
Pradhan S, Andreasson K (2013) Commentary: progressive inflammation as a contributing factor to early development of Parkinson’s disease. Exp Neurol 241:148–155
Benner EJ, Banerjee R, Reynolds AD, Sherman S, Pisarev VM, Tsiperson V et al (2008) Nitrated alpha-synuclein immunity accelerates degeneration of nigral dopaminergic neurons. PLoS One 3:e1376
Brochard V, Combadiere B, Prigent A, Laouar Y, Perrin A, Beray-Berthat V et al (2009) Infiltration of CD4+ lymphocytes into the brain contributes to neurodegeneration in a mouse model of Parkinson disease. J Clin Invest 119:182–192
Bokor M, Farago A, Garam T, Malatinszky G, Schnabel R (1993) Antibody-dependent cell-mediated cytotoxicity (ADCC) in Parkinson’s disease. J Neurol Sci 115:47–50
Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D et al (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of observational studies in epidemiology (MOOSE) group. JAMA 283:2008–2012
Stang A (2010) Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol 25:603–605
Hozo SP, Djulbegovic B, Hozo I (2005) Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol 5:13
Jiang Z, Dai L, Song Z, Li H, Shu M (2013) Association between C-reactive protein and atrial fibrillation recurrence after catheter ablation: a meta-analysis. Clin Cardiol 36:548–554
Li C, Zhang W, Zhou F, Chen C, Zhou L, Li Y et al (2013) Cholesteryl ester transfer protein inhibitors in the treatment of dyslipidemia: a systematic review and meta-analysis. PLoS One 8:e77049
Mantel N, Haenszel W (1959) Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst 22:719–748
Yan C, Yuping J, Ping Z (2004) Study on T lymphocyte subsets in Parkinson’s disease. CHINESE JOURNAL OF CLINICAL NEUROSCIENCES 12:377–380
Stevens CH, Rowe D, Morel-Kopp MC, Orr C, Russell T, Ranola M et al (2012) Reduced T helper and B lymphocytes in Parkinson’s disease. J Neuroimmunol 252:95–99
Niwa F, Kuriyama N, Nakagawa M, Imanishi J (2012) Effects of peripheral lymphocyte subpopulations and the clinical correlation with Parkinson’s disease. Geriatr Gerontol Int 12:102–107
Ping G, Chuanzhong Q, Xiangyuan L, Zhuoyou C, Yaxin Z, Zhixiang Z (2005) Clinical study of T lymphocyte and natural kill cell with Parkinson disease. JOURNAL OF CLINICAL MEDICINE IN PRACTICE 9:52–54
Juan H, Shun Y, Biao C, Yaohua L (2014). Analysis of naive, memory, and regulatory T lymphocyte subgroups in peripheral blood of Parkinson’s wu Hospi- tients. Chinese Journal of Neuroimmunology and Neurology, 196–198
Saunders JA, Estes KA, Kosloski LM, Allen HE, Dempsey KM, Torres-Russotto DR et al (2012) CD4+ regulatory and effector/memory T cell subsets profile motor dysfunction in Parkinson’s disease. J NeuroImmune Pharmacol 7:927–938
Hisanaga K, Asagi M, Itoyama Y, Iwasaki Y (2001) Increase in peripheral CD4 bright+ CD8 dull+ T cells in Parkinson disease. Arch Neurol 58:1580–1583
Gesheng L, Jianting M, Zhuyi L (2001) T lymphocyte subgroups and erythrocyte immune function in Parkinson disease patients. CHINESE JOURNAL OF NEUROIMMUNOLOGY AND NEUROLOGY 8:95–97
Fengwu L, Peilan Z, Chuanhai C, Weimin D (2012) Analysis of T lymphocyte subsets in peripheral blood from patients with Parkinson’s disease. Journal of Tianjin Medical University 18:208–211
Li L (2015) The correlation study of peripheral blood CD4+T cells balance and Parkinson's disease
Gruden MA, Sewell RD, Yanamandra K, Davidova TV, Kucheryanu VG, Bocharov EV et al (2011) Immunoprotection against toxic biomarkers is retained during Parkinson’s disease progression. J Neuroimmunol 233:221–227
Jinxing Q, Jianzhong D, Baohua Q (2004) The study of the level of T lymphocyte subsets, TNF and Il-2 in Parkinson’s disease patients. CHINESE JOURNAL OF NEUROIMMUNOLOGY AND NEUROLOGY 11:243
Chiba S, Matsumoto H, Saitoh M, Kasahara M, Matsuya M, Kashiwagi M (1995) A correlation study between serum adenosine deaminase activities and peripheral lymphocyte subsets in Parkinson’s disease. J Neurol Sci 132:170–173
Feng T, Wei G, Tao H, Ruizhu Z (2003) Changes and its clinical significance of natural kill cell and T lymphocyte subsets in Parkinson disease patients. CHINESE JOURNAL OF IMMUNOLOGY 19:138–140
Baba Y, Kuroiwa A, Uitti RJ, Wszolek ZK, Yamada T (2005) Alterations of T lymphocyte populations in Parkinson disease. Parkinsonism Relat Disord 11:493–498
Nengwei Y, Jie L, Xiaojia L, Jianbo Z, Yousong Y, Hongbin S (2012) Changes of T lymphocyte subgroups in peripheral blood of Parkionson’s disease patients. Sichuan Medical Journal 33:1487–1490
Siyun Z, Congcong S, Limin Z, Luan C, Mingshu M, Zhuolin L et al (2014) Clinical analysis of subpopulation of peripheral T and B lymphocytes in Chinese Parkinson’s disease patients. National Medical Journal of China 0:3726–3730
Xu Z (2013) Parkinson’s disease correlation analysis of T lymphocyte subsets and disease
Kustrimovic N, Rasini E, Legnaro M, Bombelli R, Aleksic I, Blandini F, et al. (2016) Dopaminergic Receptors on CD4+ T Naive and Memory Lymphocytes Correlate with Motor Impairment in Patients with Parkinson’s Disease. Scientific Reports, 6
Xueyi F, Yinghui C, Hui Q, Huibi L (2016) Analysis of T lymphocyte subsets in patients with Parkinson’s disease of different age and severity. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine 26:46–47
Rocha NP, Assis F, Scalzo PL, Vieira ÉLM, Barbosa IG, Souza MSD, et al. (2017) Reduced Activated T Lymphocytes (CD4+CD25+) and Plasma Levels of Cytokines in Parkinson’s Disease. Molecular Neurobiology, 1–10
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This work was supported by the grants from the National Natural Science Foundation of China (grant numbers U1503222).
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Jiang, S., Gao, H., Luo, Q. et al. The correlation of lymphocyte subsets, natural killer cell, and Parkinson’s disease: a meta-analysis. Neurol Sci 38, 1373–1380 (2017). https://doi.org/10.1007/s10072-017-2988-4
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DOI: https://doi.org/10.1007/s10072-017-2988-4