IMMUNOLOGICAL CHARACTERIZATION OF THE PATIENTS WITH CHRONIC UVEITIS CAUSED BY HERPES AND CYTOMEGALOVIRUS

Abstract. The study included patients with chronic uveitis caused by herpes simplex virus (HSV), or mixed HSV/ cytomegalovirus (CMV) infections. Deficiencies in CD3+ and CD4+ T lymphocytes and significant increase of CD8+ lymphocyte subpopulations were found in posterior uveitis. A single-pathogen (...

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Auteurs principaux: M. D. Guliamova, A. P. Rizopulu, H. M. Kamilov, U. S. Faisieva, A. A. Umarova, F. Yu. Garib, T. U. Aripova
Format: article
Langue:RU
Publié: SPb RAACI 2014
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Accès en ligne:https://doaj.org/article/a1a899be32b24759bd16f0b0db1d83db
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Résumé:Abstract. The study included patients with chronic uveitis caused by herpes simplex virus (HSV), or mixed HSV/ cytomegalovirus (CMV) infections. Deficiencies in CD3+ and CD4+ T lymphocytes and significant increase of CD8+ lymphocyte subpopulations were found in posterior uveitis. A single-pathogen (HSV) infection was characterized by decreased expression of CD3+ and CD4+ lymphocytes, IgG hypoglobulinaemia. Irrespectively of etiology, both groups of the patients exhibited sharp increase in CD16+ cells, as well as suppressed CD25+ receptors for IL-2, increased numbers of activated CD38+ lymphocytes, enhanced expression of late activation markers (CD95+ and HLA-DR+) in both mixed and single-pathogen uveitis. IFN-alpha is detected at low concentrations, or is absent; increased TNF-alpha production was noted in the tears in cases of posterior uveitis.Statistically significant interrelations have been found between expression of HLA-DR+, and CD3+; CD95+ and HLA-DR+; CD95+ lymphocytes and TNFalpha levels in the course of chronic persistence of Herpesviridae in the patients with chronic uveitis. The degree of immunological disturbances correlated with severity of clinical features.