Altered responses to homeostatic cytokines in patients with idiopathic CD4 lymphocytopenia.
Idiopathic CD4 lymphocytopenia (ICL) is a rare immune deficiency characterized by a protracted CD4(+) T cell loss of unknown etiology and by the occurrence of opportunistic infections similar to those seen in AIDS. We investigated whether a defect in responses to cytokines that control CD4(+) T cell...
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2013
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oai:doaj.org-article:c2fbc163ebc34626bd73ba34577884d02021-11-18T07:59:23ZAltered responses to homeostatic cytokines in patients with idiopathic CD4 lymphocytopenia.1932-620310.1371/journal.pone.0055570https://doaj.org/article/c2fbc163ebc34626bd73ba34577884d02013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23383227/?tool=EBIhttps://doaj.org/toc/1932-6203Idiopathic CD4 lymphocytopenia (ICL) is a rare immune deficiency characterized by a protracted CD4(+) T cell loss of unknown etiology and by the occurrence of opportunistic infections similar to those seen in AIDS. We investigated whether a defect in responses to cytokines that control CD4(+) T cell homeostasis could play a role in ICL. Immunophenotype and signaling responses to interleukin-7 (IL-7), IL-2, and thymic stromal lymphopoietin (TSLP) were analyzed by flow cytometry in CD4(+) T cells from 15 ICL patients and 15 healthy blood donors. The induction of phospho-STAT5 after IL-7 stimulation was decreased in memory CD4(+) T cells of some ICL patients, which correlated with a decreased expression of the IL-7Rα receptor chain (R = 0.74, p<0.005) and with lower CD4(+) T cell counts (R = 0.69, p<0.005). IL-2 responses were also impaired, both in the Treg and conventional memory subsets. Decreased IL-2 responses correlated with decreased IL-7 responses (R = 0.75, p<0.005), pointing to combined defects that may significantly perturb CD4(+) T cell homeostasis in a subset of ICL patients. Unexpectedly, responses to the IL-7-related cytokine TSLP were increased in ICL patients, while they remained barely detectable in healthy controls. TSLP responses correlated inversely with IL-7 responses (R = -0.41; p<0.05), suggesting a cross-regulation between the two cytokine systems. In conclusion, IL-7 and IL-2 signaling are impaired in ICL, which may account for the loss of CD4(+) T cell homeostasis. Increased TSLP responses point to a compensatory homeostatic mechanism that may mitigate defects in γc cytokine responses.Florence BugaultDaniela BenatiLuc MouthonIvan LandiresPierre RohrlichVincent PestreJacques ThèzeOlivier LortholaryLisa A ChakrabartiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 1, p e55570 (2013) |
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Medicine R Science Q Florence Bugault Daniela Benati Luc Mouthon Ivan Landires Pierre Rohrlich Vincent Pestre Jacques Thèze Olivier Lortholary Lisa A Chakrabarti Altered responses to homeostatic cytokines in patients with idiopathic CD4 lymphocytopenia. |
description |
Idiopathic CD4 lymphocytopenia (ICL) is a rare immune deficiency characterized by a protracted CD4(+) T cell loss of unknown etiology and by the occurrence of opportunistic infections similar to those seen in AIDS. We investigated whether a defect in responses to cytokines that control CD4(+) T cell homeostasis could play a role in ICL. Immunophenotype and signaling responses to interleukin-7 (IL-7), IL-2, and thymic stromal lymphopoietin (TSLP) were analyzed by flow cytometry in CD4(+) T cells from 15 ICL patients and 15 healthy blood donors. The induction of phospho-STAT5 after IL-7 stimulation was decreased in memory CD4(+) T cells of some ICL patients, which correlated with a decreased expression of the IL-7Rα receptor chain (R = 0.74, p<0.005) and with lower CD4(+) T cell counts (R = 0.69, p<0.005). IL-2 responses were also impaired, both in the Treg and conventional memory subsets. Decreased IL-2 responses correlated with decreased IL-7 responses (R = 0.75, p<0.005), pointing to combined defects that may significantly perturb CD4(+) T cell homeostasis in a subset of ICL patients. Unexpectedly, responses to the IL-7-related cytokine TSLP were increased in ICL patients, while they remained barely detectable in healthy controls. TSLP responses correlated inversely with IL-7 responses (R = -0.41; p<0.05), suggesting a cross-regulation between the two cytokine systems. In conclusion, IL-7 and IL-2 signaling are impaired in ICL, which may account for the loss of CD4(+) T cell homeostasis. Increased TSLP responses point to a compensatory homeostatic mechanism that may mitigate defects in γc cytokine responses. |
format |
article |
author |
Florence Bugault Daniela Benati Luc Mouthon Ivan Landires Pierre Rohrlich Vincent Pestre Jacques Thèze Olivier Lortholary Lisa A Chakrabarti |
author_facet |
Florence Bugault Daniela Benati Luc Mouthon Ivan Landires Pierre Rohrlich Vincent Pestre Jacques Thèze Olivier Lortholary Lisa A Chakrabarti |
author_sort |
Florence Bugault |
title |
Altered responses to homeostatic cytokines in patients with idiopathic CD4 lymphocytopenia. |
title_short |
Altered responses to homeostatic cytokines in patients with idiopathic CD4 lymphocytopenia. |
title_full |
Altered responses to homeostatic cytokines in patients with idiopathic CD4 lymphocytopenia. |
title_fullStr |
Altered responses to homeostatic cytokines in patients with idiopathic CD4 lymphocytopenia. |
title_full_unstemmed |
Altered responses to homeostatic cytokines in patients with idiopathic CD4 lymphocytopenia. |
title_sort |
altered responses to homeostatic cytokines in patients with idiopathic cd4 lymphocytopenia. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2013 |
url |
https://doaj.org/article/c2fbc163ebc34626bd73ba34577884d0 |
work_keys_str_mv |
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_version_ |
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