# Pattern of Regulatory T Cells, Resident Memory T Cells, and Exhausted T Cells in Human Pericardial Fluid Samples of Cardiovascular Patients

**Authors:** Barbara Érsek, Júlia Opra, Nóra Fekete, Mandula Ifju, Viktor Molnár, Edina Bugyik, Éva Pállinger, Andrea Székely, Tamás Radovits, Béla Merkely, Edit I. Buzás

PMC · DOI: 10.3390/ijms26209852 · 2025-10-10

## TL;DR

This study examines T cell patterns in pericardial fluid from cardiovascular patients, revealing immune changes in heart transplant recipients and bypass patients.

## Contribution

The study identifies distinct T cell subset patterns in pericardial fluid, offering new insights into immune regulation in cardiac diseases and transplantation.

## Key findings

- Tregs and Trm cells were enriched in heart transplant recipients.
- T cell exhaustion markers showed complex regulation across patient groups.
- CD4+ and CD8+ T cell subsets and migration markers varied significantly between groups.

## Abstract

This study investigates T cell subsets in pericardial fluid samples obtained from heart transplantation donors, heart transplantation recipients, and coronary artery bypass graft patients. Using flow cytometry, we characterized regulatory T cells (Tregs), tissue-resident memory T cells (Trm), and exhausted T cells based on specific markers. Our results showed significant alterations in the CD4+ and CD8+ T cell subsets, migration (CXCR3, CCR5), and exhaustion markers (PD-1, TIM3) across the groups. Notably, Tregs and Trm cells were enriched in recipients, while markers of T cell exhaustion showed a complex regulation. These findings provide novel insights into the local immune regulation in cardiac disease and transplantation.

## Linked entities

- **Proteins:** trm (tremor), CD4 (CD4 molecule), CD8A (CD8 subunit alpha), CXCR3 (C-X-C motif chemokine receptor 3), CCR5 (C-C motif chemokine receptor 5), PDCD1 (programmed cell death 1), HAVCR2 (hepatitis A virus cellular receptor 2)
- **Diseases:** cardiovascular disease (MONDO:0004995)

## Full-text entities

- **Genes:** CD4 (CD4 molecule) [NCBI Gene 920] {aka CD4mut, IMD79, Leu-3, OKT4D, T4}, CCR5 (C-C motif chemokine receptor 5) [NCBI Gene 1234] {aka CC-CKR-5, CCCKR5, CCR-5, CD195, CKR-5, CKR5}, CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}, CXCR3 (C-X-C motif chemokine receptor 3) [NCBI Gene 2833] {aka CD182, CD183, CKR-L2, CMKAR3, GPR9, IP10-R}, HAVCR2 (hepatitis A virus cellular receptor 2) [NCBI Gene 84868] {aka CD366, HAVcr-2, KIM-3, SPTCL, TIM3, TIMD-3}, PDCD1 (programmed cell death 1) [NCBI Gene 5133] {aka ADMIO4, AIMTBS, CD279, PD-1, PD1, SLEB2}
- **Diseases:** cardiac disease (MESH:D006331)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12562597/full.md

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Source: https://tomesphere.com/paper/PMC12562597