Regulatory and Effector Cell Disequilibrium in Patients with Acute Cellular Rejection and Chronic Lung Allograft Dysfunction after Lung Transplantation: Comparison of Peripheral and Alveolar Distribution.


Journal

Cells
ISSN: 2073-4409
Titre abrégé: Cells
Pays: Switzerland
ID NLM: 101600052

Informations de publication

Date de publication:
01 04 2021
Historique:
received: 16 02 2021
revised: 28 03 2021
accepted: 29 03 2021
entrez: 30 4 2021
pubmed: 1 5 2021
medline: 25 2 2023
Statut: epublish

Résumé

The immune mechanisms occurring during acute rejection (AR) and chronic lung allograft dysfunction are a challenge for research and the balance between effector and regulatory cells has not been defined completely. In this study, we aimed to elucidate the interaction of effector cells, mainly Th17, Th1 and Th2, and regulatory cells including (CD4 Bronchoalveolar lavage cells (BAL) and peripheral blood mononuclear cells (PBMCs) from stable lung transplanted (LTx )subjects ( A predominance of Th17 cells subtypes in the PBMCs and BAL and a depletion of Tregs, that resulted in decrease Treg/Th17 ratio, was observed in the AR group. CD19 In AR, BOS and stable lung transplant, regulatory and effector cells clearly demonstrated different pathways of activation. Understanding of the balance of T cells and T and B regulatory cells can offers insights into rejection.

Sections du résumé

BACKGROUND
The immune mechanisms occurring during acute rejection (AR) and chronic lung allograft dysfunction are a challenge for research and the balance between effector and regulatory cells has not been defined completely. In this study, we aimed to elucidate the interaction of effector cells, mainly Th17, Th1 and Th2, and regulatory cells including (CD4
METHODS
Bronchoalveolar lavage cells (BAL) and peripheral blood mononuclear cells (PBMCs) from stable lung transplanted (LTx )subjects (
RESULTS
A predominance of Th17 cells subtypes in the PBMCs and BAL and a depletion of Tregs, that resulted in decrease Treg/Th17 ratio, was observed in the AR group. CD19
CONCLUSIONS
In AR, BOS and stable lung transplant, regulatory and effector cells clearly demonstrated different pathways of activation. Understanding of the balance of T cells and T and B regulatory cells can offers insights into rejection.

Identifiants

pubmed: 33916034
pii: cells10040780
doi: 10.3390/cells10040780
pmc: PMC8065700
pii:
doi:

Substances chimiques

Biomarkers 0

Types de publication

Comparative Study Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : OTT organizzazione toscana trapianto
ID : Respir1, Prot n 15732, 16 September 2019

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Auteurs

Laura Bergantini (L)

Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Department of Medical Sciences, Surgery and Neurosciences, Siena University, 53100 Siena, Italy.

Miriana d'Alessandro (M)

Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Department of Medical Sciences, Surgery and Neurosciences, Siena University, 53100 Siena, Italy.

Elda De Vita (E)

Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Department of Medical Sciences, Surgery and Neurosciences, Siena University, 53100 Siena, Italy.

Felice Perillo (F)

Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Department of Medical Sciences, Surgery and Neurosciences, Siena University, 53100 Siena, Italy.

Antonella Fossi (A)

Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Department of Medical Sciences, Surgery and Neurosciences, Siena University, 53100 Siena, Italy.

Luca Luzzi (L)

Thoracic Surgery Unit, Department of Medicine, Surgery and Neuroscences, Siena University Hospital, 53100 Siena, Italy.

Piero Paladini (P)

Thoracic Surgery Unit, Department of Medicine, Surgery and Neuroscences, Siena University Hospital, 53100 Siena, Italy.

Anna Perrone (A)

Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Department of Medical Sciences, Surgery and Neurosciences, Siena University, 53100 Siena, Italy.

Paola Rottoli (P)

Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Department of Medical Sciences, Surgery and Neurosciences, Siena University, 53100 Siena, Italy.

Piersante Sestini (P)

Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Department of Medical Sciences, Surgery and Neurosciences, Siena University, 53100 Siena, Italy.

Elena Bargagli (E)

Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Department of Medical Sciences, Surgery and Neurosciences, Siena University, 53100 Siena, Italy.

David Bennett (D)

Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Department of Medical Sciences, Surgery and Neurosciences, Siena University, 53100 Siena, Italy.

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