Table 1 The main studies on the change of T cells in AF

From: Recent advances in understanding the roles of T cells in atrial fibrillation

Study

No. of patients

Sample source

Cell types

Findings

Yamashita et al.27

11 AF vs. 5 SR

LAA

CD3+ T cells, CD8+ T cells

Higher infiltration of CD3+ T cells in AF patients; some CD3+ T cells were CD8+, but changes in CD8+ T cells were unclear.

Yamashita et al.29

21 persistent AF, 6 paroxysmal AF

LAA

CD3+ T cells

Positive correlation between LAD and CD3 immunostaining area.

Smorodinova et al.100

19 persistent AF vs. 27 SR

LAA, RAA

CD3+ T cells

Elevated CD3+ T cells in left atrial myocardium instead of right atrial of AF patients.

Hohmann et al.30

2 paroxysmal AF vs. 3 persistent AF vs. 3 permanent AF vs. 2 SR

LAA

CD3+ T cells

Increased CD3+ T cells from SR to paroxysmal to persistent AF; lower in permanent AF than persistent AF.

Wu et al.28

20 paroxysmal AF, 30 long-standing persistent/permanent AF

LAA

CD3+ T cells

Higher absolute number of CD3+ T cells in adipose tissue than myocardium of atria. No difference between AF subtypes.

Chang et al.35

45 AF vs. 45 control

Peripheral blood

CD3+ T cells, CD4+ T cells, CD8+ T cells

Higher CD69 and HLA-DR on CD3+ T cells in AF; lower PD-1 on CD4+ T cells in AF. No difference in PD-1 on CD8+ T cells.

Stone et al.37

10 permanent AF vs. 20 SR

Public domain micro-array samples from RAA

CD4+ T cells, γδ T cells, Treg cells

Association between permanent AF and increased CD4+ T cells and γδ T cells. Potential Treg/autoimmune phenotype related to structural remodeling.

Infante et al.38

10 AF vs. 11 SR

Peripheral blood

CD4+ T cells

Hypomethylated of CDK5R1, GSE1, HSPG2 and WDFY3 in AF. Overexpression gene level of CDK5R1, GSE1, HSPG2 and WDFY3 in AF.

Sulzgruber et al.47

56 CHF-AF vs. 56 CHF

Peripheral blood

CD4+CD28null T cells

Higher fraction of CD4+CD28null T cells in CHF-AF; associated with cardiovascular mortality and predictive of outcomes in CHF patients with AF.

Sulzgruber et al.48

60 POAF vs. 69 non-POAF

Peripheral blood

CD4+CD28null T cells

Higher CD4+CD28null T cells in POAF; strong predictor for POAF after cardiac surgery, better than NT-proBNP.

Floyd et al.49

1137 new on-set AF

Peripheral blood

CD4+ T cells, CD8+ T cells, Treg cells

No relationship between immune cells (CD4+, CD8+, Treg) and new-onset AF.

Wu et al.69

168 AF vs. 168 control

Peripheral blood

Th17 cells

Higher Th17-related cytokines in AF than control. Positive correlation between Th17-related cytokines and LAD among AF. Negative correlation between Th17-related cytokines and LVEF among AF.

He et al.71

25 POAF vs. 63 non-POAF

Peripheral blood

Th17 cells, Treg cells

Higher Th17/Treg in POAF; correlated with CRP level, LA volume, and risk scores. Th17/Treg ratio combined with CRP level is a valuable predictor for POAF.

Wang et al.70

40 Rheumatoid Arthritis-AF patients vs. 120 Rheumatoid Arthritis control patients

Peripheral blood

Th1 cells, Th17 cells, Treg cells

Higher Th1, Th1/Th17 ratio, and absolute numbers of Th1 and Th17 cells in RA-AF.

Dai et al.101

45 paroxysmal AF vs. 45 chronic AF vs. 45 control

Peripheral blood

Th17 cells, Tim-3+ cells

Significant increase in Th17 cells and related cytokines in peripheral blood of AF patients, while Tim-3+ cells and related cytokines were significantly decreased. Higher Th17/Tim-3+ cell ratio in chronic AF than paroxysmal AF.

Haemers et al.94

12 AF

LAA

CD8+ T cells

High infiltration of CD8+ T cells in the transition zone between adipocytes and fibrosis area.

Kazem et al.95

60 POAF vs. 69 non-POAF

Peripheral blood

CD8+CD28null T cells

Higher proportion of CD8+CD28null T cells in POAF patients, significantly associated with the incidence of POAF.

Friebel et al.96

80 first-diagnosed AF vs. 20 control

Peripheral blood

CD8+ T cells

CD3+ T cells

Higher activated CD8+CD57+ T cells in first-diagnosed AF; associated with atrial myopathy and cardiac remodeling. PAR1 activation enhances CD8+ T cell effector function and a higher expression of PAR1 in CD8+ T cells is linked to increased major adverse cardiovascular events in first-diagnosed AF. Higher CD3+PAR1+ T cells in FDAF.

Sheng et al.26

6 AF vs. 6 SR

LAA

CD8+ T cells, CD4+ T cells

Increased CD4+ and CD8+ T cells in AF. CD8+ T cells were localized in myocardium and epicardial adipose tissue in AF patients.

  1. AF atrial fibrillation, SR sinus rhythm, LAA left atrial appendage, RAA right atrial appendage, CHF chronic heart failure, POAF post operative atrial fibrillation.