B cells and T cells abnormalities in patients with selective IgA deficiency

© 2023. The Author(s)..

BACKGROUND: Selective IgA deficiency (SIgAD) is the most prevalent inborn errors of immunity with almost unknown etiology. This study aimed to investigate the clinical diagnostic and prognostic values of lymphocyte subsets and function in symptomatic SIgAD patients.

METHODS: A total of 30 available SIgAD patients from the Iranian registry and 30 age-sex-matched healthy controls were included in the present study. We analyzed B and T cell peripheral subsets and T cell proliferation assay by flow cytometry in SIgAD patients with mild and severe clinical phenotypes.

RESULTS: Our results indicated a significant increase in naïve and transitional B cells and a strong decrease in marginal zone-like and switched memory B-cells in SIgAD patients. We found that naïve and central memory CD4+ T cell subsets, as well as Th1, Th2 and regulatory T cells, have significantly decreased. On the other hand, there was a significant reduction in central and effector memory CD8+ T cell subsets, whereas proportions of both (CD4+ and CD8+) terminally differentiated effector memory T cells (TEMRA) were significantly elevated in our patients. Although some T cell subsets in severe SIgAD were similar, a decrease in marginal-zone and switched memory B cells and an increase in CD21low B cell of severe SIgAD patients were slightly prominent. Moreover, the proliferation activity of CD4+ T cells was strongly impaired in SIgAD patients with a severe phenotype.

CONCLUSION: SIgAD patients have varied cellular and humoral deficiencies. Therefore, T cell and B cell assessment might help in better understanding the heterogeneous pathogenesis and prognosis estimation of the disease.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology - 19(2023), 1 vom: 20. März, Seite 23

Sprache:

Englisch

Beteiligte Personen:

Bagheri, Yasser [VerfasserIn]
Moeini Shad, Tannaz [VerfasserIn]
Namazi, Shideh [VerfasserIn]
Tofighi Zavareh, Farzaneh [VerfasserIn]
Azizi, Gholamreza [VerfasserIn]
Salami, Fereshteh [VerfasserIn]
Sadani, Somayeh [VerfasserIn]
Hosseini, Ali [VerfasserIn]
Saeidi, Mohsen [VerfasserIn]
Pashangzadeh, Salar [VerfasserIn]
Delavari, Samaneh [VerfasserIn]
Mirminachi, Babak [VerfasserIn]
Rezaei, Nima [VerfasserIn]
Abolhassani, Hassan [VerfasserIn]
Aghamohammadi, Asghar [VerfasserIn]
Yazdani, Reza [VerfasserIn]

Links:

Volltext

Themen:

B cell subsets
Flow cytometry
Inborn errors of immunity
Journal Article
Primary immunodeficiency
Proliferation assay
Selective IgA deficiency
T cell subsets

Anmerkungen:

Date Revised 23.03.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1186/s13223-023-00775-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM354470361