Oligoclonal CD4+ T cells in the lungs of patients with severe emphysema

RATIONALE: Within the lungs of patients with severe emphysema, inflammation continues despite smoking cessation. Foci of T lymphocytes in the small airways of patients with emphysema have been associated with disease severity. Whether these T cells play an important role in this continued inflammatory response is unknown.

OBJECTIVE: The aim of this study was to determine if T cells recruited to the lungs of subjects with severe emphysema contain oligoclonal T-cell populations, suggesting their accumulation in response to antigenic stimuli.

METHODS: Lung T-cell receptor (TCR) Vbeta repertoire from eight patients with severe emphysema and six control subjects was evaluated at the time of tissue procurement (ex vivo) and after 2 weeks of culture with interleukin 2 (in vitro). Junctional region nucleotide sequencing of expanded TCR-Vbeta subsets was performed.

RESULTS: No significantly expanded TCR-Vbeta subsets were identified in ex vivo samples. However, T cells grew from all emphysema (n = 8) but from only one of the control lung samples (n = 6) when exposed to interleukin 2 (p = 0.0013). Within the cultured cells, seven major CD4-expressing TCR-Vbeta subset expansions were identified from five of the patients with emphysema. These expansions were composed of oligoclonal populations of T cells that had already been expanded in vivo.

CONCLUSION: Severe emphysema is associated with inflammation involving T lymphocytes that are composed of oligoclonal CD4+ T cells. These T cells are accumulating in the lung secondary to conventional antigenic stimulation and are likely involved in the persistent pulmonary inflammation characteristic of severe emphysema.

Medienart:

Artikel

Erscheinungsjahr:

2005

Erschienen:

2005

Enthalten in:

Zur Gesamtaufnahme - volume:172

Enthalten in:

American journal of respiratory and critical care medicine - 172(2005), 5 vom: 01. Sept., Seite 590-6

Sprache:

Englisch

Beteiligte Personen:

Sullivan, Andrew K [VerfasserIn]
Simonian, Philip L [VerfasserIn]
Falta, Michael T [VerfasserIn]
Mitchell, John D [VerfasserIn]
Cosgrove, Gregory P [VerfasserIn]
Brown, Kevin K [VerfasserIn]
Kotzin, Brian L [VerfasserIn]
Voelkel, Norbert F [VerfasserIn]
Fontenot, Andrew P [VerfasserIn]

Themen:

Journal Article
Receptors, Antigen, T-Cell, alpha-beta
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Anmerkungen:

Date Completed 10.11.2005

Date Revised 13.11.2018

published: Print-Electronic

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM15578871X