<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">bloodjour</journal-id><journal-title-group><journal-title xml:lang="ru">Гематология и трансфузиология</journal-title><trans-title-group xml:lang="en"><trans-title>Russian journal of hematology and transfusiology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0234-5730</issn><issn pub-type="epub">2411-3042</issn><publisher><publisher-name>ООО Издательский дом «Практика»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18821/0234-5730-2016-61-3-133-137</article-id><article-id custom-type="elpub" pub-id-type="custom">bloodjour-19</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group></article-categories><title-group><article-title>Восстановление CD4+ Т-клеток, экспрессирующих молекулу CD31, у больных лимфопролиферативными заболеваниями после трансплантации гемопоэтических стволовых клеток</article-title><trans-title-group xml:lang="en"><trans-title>Recovery of CD4+ CD31+ T-cell in patients with lymphoproliferative disorders following hematopoietic stem cell transplantation</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2902-9336</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баторов</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Batorov</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Баторов Егор Васильевич, кандидат мед. наук, научный сотрудник лаборатории клеточной иммунотерапии </p><p>Scopus Author ID 35768879800</p><p>630099, г. Новосибирск</p></bio><bio xml:lang="en"><p>Batorov Egor V., MD, PhD, researcher of the Laboratory of Cellular Immunotherapy</p><p>Scopus Author ID 35768879800</p><p>Novosibirsk, 630090</p></bio><email xlink:type="simple">Ebatorov@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тихонова</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tikhonova</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630099, г. Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk, 630090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крючкова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kryuchkova</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630099, г. Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk, 630090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сергеевичева</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sergeevicheva</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630099, г. Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk, 630090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сизикова</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sizikova</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630099, г. Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk, 630090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баторова</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Batorova</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630099, г. Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk, 630090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ушакова</surname><given-names>Г. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Ushakova</surname><given-names>G. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630099, г. Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk, 630090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гилевич</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gilevich</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630099, г. Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk, 630090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Останин</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ostanin</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630099, г. Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk, 630090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2346-6279</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Черных</surname><given-names>Е. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Chernykh</surname><given-names>E. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Researcher ID: K-1052-2014</p><p>630099, г. Новосибирск</p></bio><bio xml:lang="en"><p>Researcher ID: K-1052-2014</p><p>Novosibirsk, 630090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт фундаментальной и клинической иммунологии»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Fundamental and Clinical Immunology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>26</day><month>02</month><year>2019</year></pub-date><volume>61</volume><issue>3</issue><fpage>133</fpage><lpage>137</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Баторов Е.В., Тихонова М.А., Крючкова И.В., Сергеевичева В.В., Сизикова С.А., Баторова Д.С., Ушакова Г.Ю., Гилевич А.В., Останин А.А., Черных Е.Р., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Баторов Е.В., Тихонова М.А., Крючкова И.В., Сергеевичева В.В., Сизикова С.А., Баторова Д.С., Ушакова Г.Ю., Гилевич А.В., Останин А.А., Черных Е.Р.</copyright-holder><copyright-holder xml:lang="en">Batorov E.V., Tikhonova M.A., Kryuchkova I.V., Sergeevicheva V.V., Sizikova S.A., Batorova D.S., Ushakova G.Y., Gilevich A.V., Ostanin A.A., Chernykh E.R.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.htjournal.ru/jour/article/view/19">https://www.htjournal.ru/jour/article/view/19</self-uri><abstract><p>Цель работы – исследование динамики восстановления CD4+CD45RA+CD31+ Т-клеток и ранее не описанной субпопуляции CD4+CD45RA-CD31+ Т-клеток у больных лимфопролиферативными заболеваниями после высокодозной химиотерапии с трансплантацией аутологичных гемопоэтических стволовых клеток (ауто-ТГСК). В исследование вошли 87 больных. Методом проточной цитометрии оценивали количество CD4+CD45RA+CD31+ и CD4+CD45RA-CD31+ Т-клеток перед ауто-ТГСК, на день выхода из лейкопении, через 6 и 12 мес после ТГСК. Относительное количество CD4+CD45RA-CD31+ T-клеток значимо повышено у больных по сравнению со здоровыми лицами и восстанавливается после ауто-ТГСК до исходных показателей ко дню выхода из лейкопении. Посттрансплантационная лучевая терапия на область средостения приводит к значимому снижению количества CD4+CD45RA+CD31+ Т-клеток и удлиняет период их восстановления. Облучение мягких тканей не приводит к значимому снижению этой субпопуляции клеток. При изучении восстановления CD4+CD45RA+CD31+ Т-клеток методом проточной цитометрии нужно исключать из исследования CD31+ T-клетки памяти.</p></abstract><trans-abstract xml:lang="en"><p>We have evaluated the dynamics of post-transplant recovery of CD4+CD45RA+CD31+ T cells and CD4+CD45RACD31+ T-cells in patients with lymphoproliferative diseases after high-dose chemotherapy with autologous stem cell transplantation (auto-HSCT). 87 patients were included in the study. The content of circulating CD4+СD31+ naïve and memory T-cells has been assessed with the use of flow cytometry before auto-HSCT, at the day of engraftment, and in 6 and 12 months. Relative amount of CD4+CD45RACD31+ T-cells in patients was elevated in comparison with healthy controls, restored rapidly following auto-HSCT and reached initially high level at the day of engraftment. Post-transplant mediastinal radiotherapy significantly reduced counts of CD4+CD45RA+CD31+ T-cells and extended recovery period compared to the non-irradiated patient level. Non-thymic tissue irradiation reduced this subset slightly and non-significantly. The study of the recovery of CD4+CD45RA+CD31+ T-cells by virtue of flow cytometry required an accurate gating strategy to exclude CD31+ T memory cells.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>тимопоэз</kwd><kwd>CD31</kwd><kwd>трансплантация гемопоэтических стволовых клеток</kwd><kwd>восстановление лимфоцитов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>thymopoiesis</kwd><kwd>CD31</kwd><kwd>hematopoietic stem cell transplantation</kwd><kwd>lymphocyte recovery</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Mackall C.L., Hakim F.T., Gress R.E. Restoration of T-cell homeostasis after T-cell depletion. Semin. Immunol.1997; 9(6): 339–46.</mixed-citation><mixed-citation xml:lang="en">Mackall C.L., Hakim F.T., Gress R.E. Restoration of T-cell homeostasis after T-cell depletion. Semin. Immunol.1997; 9(6): 339–46.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Goronzy J.J., Lee W.W., Weyand C.M. Aging and T-cell diversity. Exp. Gerontol. 2007; 42(5): 400–6.</mixed-citation><mixed-citation xml:lang="en">Goronzy J.J., Lee W.W., Weyand C.M. Aging and T-cell diversity. Exp. Gerontol. 2007; 42(5): 400–6.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Poulin J.F., Viswanathan M.N., Harris J.M., Komanduri K.V., Wieder E., Ringuette N., et al. Direct evidence for thymic function in adult humans. J. Exp. Med.1999; 190(4): 479–86.</mixed-citation><mixed-citation xml:lang="en">Poulin J.F., Viswanathan M.N., Harris J.M., Komanduri K.V., Wieder E., Ringuette N., et al. Direct evidence for thymic function in adult humans. J. Exp. Med.1999; 190(4): 479–86.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Sfikakis P.P., Gourgoulis G.M., Moulopoulos L.A., Kouvatseas G., Theofilopoulos A.N., Dimopoulos M.A. Age-related thymic activity in adults following chemotherapyinduced lymphopenia. Eur. J. Clin. Invest. 2005; 35(6): 380–7.</mixed-citation><mixed-citation xml:lang="en">Sfikakis P.P., Gourgoulis G.M., Moulopoulos L.A., Kouvatseas G., Theofilopoulos A.N., Dimopoulos M.A. Age-related thymic activity in adults following chemotherapyinduced lymphopenia. Eur. J. Clin. Invest. 2005; 35(6): 380–7.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Qi Q., Liu Y., Cheng Y., Glanville J., Zhang D., Lee J.Y., et al. Diversity and clonal selection in the human T-cell repertoire. Proc. Natl. Acad. Sci. USA. 2014; 111(36): 13139–44.</mixed-citation><mixed-citation xml:lang="en">Qi Q., Liu Y., Cheng Y., Glanville J., Zhang D., Lee J.Y., et al. Diversity and clonal selection in the human T-cell repertoire. Proc. Natl. Acad. Sci. USA. 2014; 111(36): 13139–44.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Ringhoffer S., Rojewski M., Döhner H., Bunjes D., Ringhoffer M. T-cell reconstitution after allogeneic stem cell transplantation: assessment by measurement of the sjTREC/ βTREC ratio and thymic naive T cells. Haematologica. 2013; 98(10): 1600–8.</mixed-citation><mixed-citation xml:lang="en">Ringhoffer S., Rojewski M., Döhner H., Bunjes D., Ringhoffer M. T-cell reconstitution after allogeneic stem cell transplantation: assessment by measurement of the sjTREC/ βTREC ratio and thymic naive T cells. Haematologica. 2013; 98(10): 1600–8.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Sairafi D., Mattsson J., Uhlin M., Uzunel M. Thymic function after allogeneic stem cell transplantation is dependent on graft source and predictive of long term survival. Clin. Immunol. 2012; 142(3): 343–50.</mixed-citation><mixed-citation xml:lang="en">Sairafi  D.,  Mattsson  J.,  Uhlin  M.,  Uzunel  M.  Thymic  function  after  allogeneic stem cell transplantation is dependent on graft source and predictive of long term survival. Clin. Immunol. 2012; 142(3): 343–50.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Alexander T., Thiel A., Rosen O., Massenkeil G., Sattler A., Kohler S., et al. Depletion of autoreactive immunologic memory followed by autologous hematopoietic stem cell transplantation in patients with refractory SLE induces long-term remission through de novo generation of a juvenile and tolerant immune system. Blood. 2009; 113(1): 214–23.</mixed-citation><mixed-citation xml:lang="en">Alexander T., Thiel A., Rosen O., Massenkeil G., Sattler A., Kohler S., et al. Depletion of autoreactive immunologic memory followed by autologous hematopoietic stem cell transplantation  in  patients  with  refractory  SLE  induces  long-term  remission  through de novo generation of a juvenile and tolerant immune system. Blood. 2009; 113(1): 214–23.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Хайдуков С.В. Малые субпопуляции Т-хелперов (Th наивные тимические, Th наивные центральные, Th9, Th22 и CD4+CD8+ дважды положительные Т-клетки. Медицинская иммунология. 2013; 15(6): 503–12.</mixed-citation><mixed-citation xml:lang="en">Khaydukov S.V. Minor subsets of T-helper cells (Th thymic naive, Th central naive, Th9, Th22 and CD4+CD8+ double positive T-cells. Medical immunology. Russian journal (Meditsinskaya immunologiya). 2013; 15(6): 503–12. (in Russian)</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Hazenberg M.D., Verschuren M.C., Hamann D., Miedema F., van Dongen J.J. T cell receptor excision circles as markers for recent thymic emigrants: basic aspects, technical approach, and guidelines for interpretation. J. Mol. Med. (Berl). 2001; 79(11): 631–40.</mixed-citation><mixed-citation xml:lang="en">Hazenberg M.D., Verschuren M.C., Hamann D., Miedema F., van Dongen J.J. T cell receptor excision circles as markers for recent thymic emigrants: basic aspects, technical approach, and guidelines for interpretation. J. Mol. Med. (Berl). 2001; 79(11): 631–40.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Kohler S., Thiel A. Life after the thymus: CD31+ and CD31- human naive CD4+ T-cell subsets. Blood. 2009; 113(4): 769–74.</mixed-citation><mixed-citation xml:lang="en">Kohler S., Thiel A. Life after the thymus: CD31+ and CD31- human naive CD4+ T-cell subsets. Blood. 2009; 113(4): 769–74.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Chu Y.W., Memon S.A., Sharrow S.O., Hakim F.T., Eckhaus M., Lucas P.J., et al. Exogenous IL-7 increases recent thymic emigrants in peripheral lymphoid tissue without enhanced thymic function. Blood. 2004; 104(4): 1110–9.</mixed-citation><mixed-citation xml:lang="en">Chu Y.W., Memon S.A., Sharrow S.O., Hakim F.T., Eckhaus M., Lucas P.J., et al. Exogenous IL-7 increases recent thymic emigrants in peripheral lymphoid tissue without enhanced thymic function. Blood. 2004; 104(4): 1110–9.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Azevedo R.I., Soares M.V., Barata J.T., Tendeiro R., Serra-Caetano A., Victorino R.M., et al. IL-7 sustains CD31 expression in human naive CD4+ T cells and preferentially expands the CD31+ subset in a PI3K-dependent manner. Blood. 2009; 113(13): 2999–3007.</mixed-citation><mixed-citation xml:lang="en">Azevedo R.I., Soares M.V., Barata J.T., Tendeiro R., Serra-Caetano A., Victorino R.M., et al. IL-7 sustains CD31 expression in human naive CD4+ T cells and preferentially expands the CD31+ subset in a PI3K-dependent manner. Blood. 2009; 113(13): 2999–3007.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Junge S., Kloeckener-Gruissem B., Zufferey R., Keisker A., Salgo B., Fauchere J.C., et al. Correlation between recent thymic emigrants and CD31+ (PECAM-1) CD4+ T cells in normal individuals during aging and in lymphopenic children. Eur. J. Immunol. 2007; 37(11): 3270–80.</mixed-citation><mixed-citation xml:lang="en">Junge S., Kloeckener-Gruissem B., Zufferey R., Keisker A., Salgo B., Fauchere J.C., et al. Correlation between recent thymic emigrants and CD31+ (PECAM-1) CD4+ T  cells  in  normal  individuals  during  aging  and  in  lymphopenic  children. Eur.  J. Immunol. 2007; 37(11): 3270–80.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Баторов Е.В., Блинова Е.А., Тихонова М.А., Лопатникова Ю.А., Крючкова И.В., Баторова Д.С. и др. Влияние клинических факторов на показатели функциональной активности тимуса у больных гемобластозами. Гематология и трансфузиология. 2014; 59(3): 16–21.</mixed-citation><mixed-citation xml:lang="en">Batorov  E.V.,  Blinova  E.A., Tikhonova  M.A.,  Lopatnikova Yu.A.,  Kryuchkova  I.V., Batorova D.S., et al. Relationship between clinical factors andfunctional activity of the thymus in patients with hematological malignancies. Hematology and Transfusiology, Russian journal (Gematologiya i transfusiologiya). 2014; 59(3): 16–21]. (in Russian)</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Ruiz-Hernandez R., Jou A., Cabrera C., Noukwe F., de Haro J., Borras F., et al. Distribution of CD31 on CD4 T-Cells from cord blood, peripheral blood and tonsil at different stages of differentiation. Open. Immunol. J. 2010; 3 (1): 19–26.</mixed-citation><mixed-citation xml:lang="en">Ruiz-Hernandez R., Jou A., Cabrera C., Noukwe F., de Haro J., Borras F., et al. Distribution of CD31 on CD4 T-Cells from cord blood, peripheral blood and tonsil at different stages of differentiation. Open. Immunol. J. 2010; 3 (1): 19–26.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Nausch N., Bourke C.D., Appleby L.J., Rujeni N., Lantz O., Trottein F., et al. Proportions of CD4+ memory T cells are altered in individuals chronically infected with Schistosoma haematobium. Sci. Rep. 2012; 2: 472. doi:10.1038/srep00472.</mixed-citation><mixed-citation xml:lang="en">Nausch N., Bourke C.D., Appleby L.J., Rujeni N., Lantz O., Trottein F., et al. Proportions of CD4+ memory T cells are altered in individuals chronically infected with Schistosoma haematobium. Sci. Rep. 2012; 2: 472. doi:10.1038/srep00472.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Yovino S., Kleinberg L., Grossman S.A., Narayanan M., Ford E. The etiology of treatment-related lymphopenia in patients with malignant gliomas: modeling radiation dose to circulating lymphocytes explains clinical observations and suggests methods of modifying the impact of radiation on immune cells. Cancer Invest. 2013; 31(2): 140–4.</mixed-citation><mixed-citation xml:lang="en">Yovino  S.,  Kleinberg  L.,  Grossman  S.A.,  Narayanan  M.,  Ford  E.  The  etiology  of treatment-related lymphopenia in patients with malignant gliomas: modeling radiation dose to circulating lymphocytes explains clinical observations and suggests methods of modifying the impact of radiation on immune cells. Cancer Invest. 2013; 31(2): 140–4.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Koukourakis G.V., Zabatis H., Zacharias G.A., Koukourakis M.J. Post-surgical irradiation causes cellular immune suppression in patients with breast cancer. Eur. J. Cancer Care (Engl). 2009; 18(3): 306–12.</mixed-citation><mixed-citation xml:lang="en">Koukourakis  G.V.,  Zabatis  H.,  Zacharias  G.A.,  Koukourakis  M.J.  Post-surgical irradiation causes cellular immune suppression in patients with breast cancer. Eur. J. Cancer Care (Engl). 2009; 18(3): 306–12.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Marelli-Berg F.M., Clement M., Mauro C., Caligiuri G. An immunologist’s guide to CD31 function in T-cells. J. Cell Sci.2013; 126(Pt11): 2343–52. doi: 10.1242/jcs.124099.</mixed-citation><mixed-citation xml:lang="en">Marelli-Berg F.M., Clement M., Mauro C., Caligiuri G. An immunologist’s guide to CD31 function in T-cells. J. Cell Sci.2013; 126(Pt11): 2343–52. doi: 10.1242/jcs.124099.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
