Peripheral blood lymphocyte subsets of Chinese adults with liver steatosis

Abstract To evaluate the effect of liver steatosis on systematic cellular immunity through the changes of peripheral blood lymphocyte subsets, we retrospectively reviewed subjects receiving lymphocyte subtyping during annual medical check-ups. Liver steatosis was detected by abdominal computerized t...

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Main Authors: Xiaxiao Yan, Jing Li, Qiang Wang, Tengda Xu, Dong Wu
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-99510-x
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author Xiaxiao Yan
Jing Li
Qiang Wang
Tengda Xu
Dong Wu
author_facet Xiaxiao Yan
Jing Li
Qiang Wang
Tengda Xu
Dong Wu
author_sort Xiaxiao Yan
collection DOAJ
description Abstract To evaluate the effect of liver steatosis on systematic cellular immunity through the changes of peripheral blood lymphocyte subsets, we retrospectively reviewed subjects receiving lymphocyte subtyping during annual medical check-ups. Liver steatosis was detected by abdominal computerized tomography or ultrasound. Immunophenotyping of peripheral blood lymphocytes was analyzed by flow cytometry. Cell counts of lymphocyte subsets were calculated using a dual-platform method. The relationship between lymphocyte subsets and liver steatosis was analyzed using multivariate linear models. Using the database from January 2017 to December 2022, we included 5042 subjects, including 1441 participants with liver steatosis. After adjusting for age, gender, and metabolic dysfunctions, the presence of liver steatosis increased the absolute values of CD19+, CD16+56+, CD3+, CD4+, CD4+CD28+, CD4+CD45RA−, CD4+CD45RA+, CD4+CD45RA+62L+, CD8+, CD8+CD28+, CD8+DR+, and CD8+CD38+ cell. In males, T lymphocyte counts of all T subsets increased in liver steatosis. In females, the significant differences in subsets included increased CD4+CD28+, CD4+CD45RA−, CD8+, and CD8+DR+ cells. Significant decreases were revealed in functional and naïve T cells with aging. Metabolic factors such as hypertension and abnormal glucose metabolism increase CD4+, CD4+CD28+, and CD4+CD45RA subsets. Hyperlipidaemia appears not to affect T cell counts, whereas obesity has some effect on both CD4+ (β = 0.041, 95% CI 0.032–0.051) and CD8+ cells (β = 0.036, 95% CI 0.025–0.048). Liver steatosis potentially affects peripheral blood lymphocyte subsets, while age, gender, and metabolic dysfunctions are also associated with these immune alterations.
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spelling doaj-art-b81c19182e8e42d5ae7c4e56fc1fc0cf2025-08-20T02:55:25ZengNature PortfolioScientific Reports2045-23222025-04-0115111310.1038/s41598-025-99510-xPeripheral blood lymphocyte subsets of Chinese adults with liver steatosisXiaxiao Yan0Jing Li1Qiang Wang2Tengda Xu3Dong Wu4Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Health Management, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Health Management, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeAbstract To evaluate the effect of liver steatosis on systematic cellular immunity through the changes of peripheral blood lymphocyte subsets, we retrospectively reviewed subjects receiving lymphocyte subtyping during annual medical check-ups. Liver steatosis was detected by abdominal computerized tomography or ultrasound. Immunophenotyping of peripheral blood lymphocytes was analyzed by flow cytometry. Cell counts of lymphocyte subsets were calculated using a dual-platform method. The relationship between lymphocyte subsets and liver steatosis was analyzed using multivariate linear models. Using the database from January 2017 to December 2022, we included 5042 subjects, including 1441 participants with liver steatosis. After adjusting for age, gender, and metabolic dysfunctions, the presence of liver steatosis increased the absolute values of CD19+, CD16+56+, CD3+, CD4+, CD4+CD28+, CD4+CD45RA−, CD4+CD45RA+, CD4+CD45RA+62L+, CD8+, CD8+CD28+, CD8+DR+, and CD8+CD38+ cell. In males, T lymphocyte counts of all T subsets increased in liver steatosis. In females, the significant differences in subsets included increased CD4+CD28+, CD4+CD45RA−, CD8+, and CD8+DR+ cells. Significant decreases were revealed in functional and naïve T cells with aging. Metabolic factors such as hypertension and abnormal glucose metabolism increase CD4+, CD4+CD28+, and CD4+CD45RA subsets. Hyperlipidaemia appears not to affect T cell counts, whereas obesity has some effect on both CD4+ (β = 0.041, 95% CI 0.032–0.051) and CD8+ cells (β = 0.036, 95% CI 0.025–0.048). Liver steatosis potentially affects peripheral blood lymphocyte subsets, while age, gender, and metabolic dysfunctions are also associated with these immune alterations.https://doi.org/10.1038/s41598-025-99510-xMetabolic symdromeLiver steatosisFlow cytometryImmune dysfunction
spellingShingle Xiaxiao Yan
Jing Li
Qiang Wang
Tengda Xu
Dong Wu
Peripheral blood lymphocyte subsets of Chinese adults with liver steatosis
Scientific Reports
Metabolic symdrome
Liver steatosis
Flow cytometry
Immune dysfunction
title Peripheral blood lymphocyte subsets of Chinese adults with liver steatosis
title_full Peripheral blood lymphocyte subsets of Chinese adults with liver steatosis
title_fullStr Peripheral blood lymphocyte subsets of Chinese adults with liver steatosis
title_full_unstemmed Peripheral blood lymphocyte subsets of Chinese adults with liver steatosis
title_short Peripheral blood lymphocyte subsets of Chinese adults with liver steatosis
title_sort peripheral blood lymphocyte subsets of chinese adults with liver steatosis
topic Metabolic symdrome
Liver steatosis
Flow cytometry
Immune dysfunction
url https://doi.org/10.1038/s41598-025-99510-x
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AT qiangwang peripheralbloodlymphocytesubsetsofchineseadultswithliversteatosis
AT tengdaxu peripheralbloodlymphocytesubsetsofchineseadultswithliversteatosis
AT dongwu peripheralbloodlymphocytesubsetsofchineseadultswithliversteatosis