Abnormalities of CD4 T cell subpopulations in ANCA-associated vasculitis / S. Marinaki, I. Neumann, A.-I. Kälsch, P. Grimminger, A. Breedijk, R. Birck, W. Schmitt, R. Waldherr, B.A. Yard and F.J. Van Der Woude
In patients with ANCA-associated vasculitis (AAV), CD25 expression is increased on circulating T cells. Although in animal experiments the role of CD4(+) CD25(+) T-regulatory-cells (T(reg)) in protection against autoimmunity is well established, the role of these cells in AAV is unknown. To investigate the hypothesis that an increased expression of CD25 on T cells is related to persistent T cell activation and not to disturbances in T(reg) cells in AAV (34 patients, six of them after renal transplantation), we investigated CD25 expression in different subpopulations of CD4(+) cells and FOXP3 mRNA expression by reverse transcription-polymerase chain reaction (RT-PCR). In addition, T cell proliferation and cytokine secretion after stimulation with anti-CD3 and anti-CD28 and intracellular cytokine production after stimulation with phorbol myristate acetate (PMA)-ionomycin was determined. Controls were non-vasculitic renal transplant patients (n = 9) and healthy controls (HC) (n = 13). In AAV the total number of lymphocytes, CD4(+) lymphocytes and the percentage of naive T cells are lower than in HC and RTX. An increased percentage of CD25(+) cells was found in AAV and AAV/RTX, irrespective of disease activity, but not in HC or RTX. This was confined to the naive (CD4(+) CD45RB(high)) population only. FOXP3 mRNA expression in CD4(+) T cells did not differ between AAV patients and healthy controls. In vitro T cell proliferation was enhanced in AAV patients compared to HC (P < 0.01). PBMC of AAV patients produced significantly less interleukin (IL)-10 and interferon (IFN)-gamma after anti-CD3/CD28 stimulation. The percentage of IL-10 and IL-12, but not IFN-gamma, IL-4 or tumour necrosis factor (TNF)-alpha-producing cells was significantly higher in patients compared to HC. These findings were confined to the memory population of CD4(+) cells. We conclude that AAV patients are lymphopenic and have low numbers of CD4(+) T cells, which seem to be in a persistent state of activation..
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2005 |
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Erschienen: |
2005 |
Enthalten in: |
Zur Gesamtaufnahme - volume:140 |
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Enthalten in: |
Clinical & experimental immunology - 140(2005), 1, Seite 181-191 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Marinaki, Smaragdi, 1970- [VerfasserIn] |
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Links: |
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Anmerkungen: |
Gesehen am 25.05.2022 |
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Umfang: |
11 |
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doi: |
10.1111/j.1365-2249.2005.02731.x |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
1804388351 |
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245 | 1 | 0 | |a Abnormalities of CD4 T cell subpopulations in ANCA-associated vasculitis |c S. Marinaki, I. Neumann, A.-I. Kälsch, P. Grimminger, A. Breedijk, R. Birck, W. Schmitt, R. Waldherr, B.A. Yard and F.J. Van Der Woude |
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520 | |a In patients with ANCA-associated vasculitis (AAV), CD25 expression is increased on circulating T cells. Although in animal experiments the role of CD4(+) CD25(+) T-regulatory-cells (T(reg)) in protection against autoimmunity is well established, the role of these cells in AAV is unknown. To investigate the hypothesis that an increased expression of CD25 on T cells is related to persistent T cell activation and not to disturbances in T(reg) cells in AAV (34 patients, six of them after renal transplantation), we investigated CD25 expression in different subpopulations of CD4(+) cells and FOXP3 mRNA expression by reverse transcription-polymerase chain reaction (RT-PCR). In addition, T cell proliferation and cytokine secretion after stimulation with anti-CD3 and anti-CD28 and intracellular cytokine production after stimulation with phorbol myristate acetate (PMA)-ionomycin was determined. Controls were non-vasculitic renal transplant patients (n = 9) and healthy controls (HC) (n = 13). In AAV the total number of lymphocytes, CD4(+) lymphocytes and the percentage of naive T cells are lower than in HC and RTX. An increased percentage of CD25(+) cells was found in AAV and AAV/RTX, irrespective of disease activity, but not in HC or RTX. This was confined to the naive (CD4(+) CD45RB(high)) population only. FOXP3 mRNA expression in CD4(+) T cells did not differ between AAV patients and healthy controls. In vitro T cell proliferation was enhanced in AAV patients compared to HC (P < 0.01). PBMC of AAV patients produced significantly less interleukin (IL)-10 and interferon (IFN)-gamma after anti-CD3/CD28 stimulation. The percentage of IL-10 and IL-12, but not IFN-gamma, IL-4 or tumour necrosis factor (TNF)-alpha-producing cells was significantly higher in patients compared to HC. These findings were confined to the memory population of CD4(+) cells. We conclude that AAV patients are lymphopenic and have low numbers of CD4(+) T cells, which seem to be in a persistent state of activation. | ||
650 | 4 | |a Adult | |
650 | 4 | |a Aged | |
650 | 4 | |a Aged, 80 and over | |
650 | 4 | |a Antibodies, Antineutrophil Cytoplasmic | |
650 | 4 | |a CD4-Positive T-Lymphocytes | |
650 | 4 | |a Cells, Cultured | |
650 | 4 | |a DNA-Binding Proteins | |
650 | 4 | |a Female | |
650 | 4 | |a Forkhead Transcription Factors | |
650 | 4 | |a Humans | |
650 | 4 | |a Immunophenotyping | |
650 | 4 | |a Interferon-gamma | |
650 | 4 | |a Interleukins | |
650 | 4 | |a Kidney | |
650 | 4 | |a Kidney Transplantation | |
650 | 4 | |a Leukocyte Common Antigens | |
650 | 4 | |a Lymphocyte Activation | |
650 | 4 | |a Male | |
650 | 4 | |a Middle Aged | |
650 | 4 | |a Receptors, Interleukin-2 | |
650 | 4 | |a RNA, Messenger | |
650 | 4 | |a Vasculitis | |
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