Predictive value of CD4+CD8+ double positive T cells for the severity of hemorrhagic fever with renal syndrome

Copyright © 2023 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved..

PURPOSES: We aimed to investigate the levels of CD4+CD8+ double positive (DP) T cells in patients with various severities of hemorrhagic fever with renal syndrome (HFRS), and the predictive capacity of DP T cells for the severity of this disorder.

METHODS: The levels of DP T cells in 213 patients and 48 healthy donors were measured by flow cytometry, as were the levels of CD4+ T cells, CD8+ T cells, B lymphocytes, and natural killer (NK) cells. In each type of HFRS patient, we tested the basic clinical reference values for leukocytes, platelets, creatinine (Cr), uric acid (UA), and urea, and the values for activated partial thromboplastin time, prothrombin time, and fibrinogen, using conventional methods. The colloidal gold method was used to measure HFRS antibody levels in the patients.

RESULTS: The frequency of DP T cells increased with disease severity and peaked in patients with critical disease. Furthermore, the level of DP T cells proportionally correlated with the levels of Cr, UA, and urea in the serum. In contrast, there was an inverse correlation between DP T cells and platelets. Interestingly, the pattern of change in DP T cell frequency was similar to those of CD8+ T cells, B cells, and NK cells, but an inverse tendency was observed for CD4+ T cells. DP T cells demonstrated significant predictive value for the severity of HFRS.

CONCLUSIONS: The level of DP T cells is associated with HFRS severity, suggesting that it may be a potent indicator for the course of this disorder.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:120

Enthalten in:

Clinical biochemistry - 120(2023) vom: 15. Okt., Seite 110643

Sprache:

Englisch

Beteiligte Personen:

Zhao, Han-Dong [VerfasserIn]
Sun, Ju-Jun [VerfasserIn]
Yu, Tong-Bo [VerfasserIn]
Liu, Hong-Li [VerfasserIn]

Links:

Volltext

Themen:

CD4(+)CD8(+) double positive T cells
HFRS
Hantaan virus
Journal Article

Anmerkungen:

Date Revised 11.10.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.clinbiochem.2023.110643

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361500440