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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Autores principales: Florence Bugault, Daniela Benati, Luc Mouthon, Ivan Landires, Pierre Rohrlich, Vincent Pestre, Jacques Thèze, Olivier Lortholary, Lisa A Chakrabarti
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle 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
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