Pulmonary Sarcoidosis and Immune Dysregulation: A Pilot Study on Possible Correlation.

immune dysregulation lymphocyte typing lymphopenia sarcoidosis severity index

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
11 Sep 2023
Historique:
received: 02 08 2023
revised: 01 09 2023
accepted: 06 09 2023
medline: 28 9 2023
pubmed: 28 9 2023
entrez: 28 9 2023
Statut: epublish

Résumé

Sarcoidosis is a systemic inflammatory disease characterized by an altered inflammatory response. The aim of this study was to evaluate whether immune system alterations detected by lymphocyte typing in peripheral blood correlate with the severity of sarcoidosis, calculated according to two separate severity scores proposed by Wasfi in 2006 and Hamzeh in 2010. Eighty-one patients were recruited, and clinical data and laboratory tests at the time of diagnosis were obtained in order to assess the severity index score and investigate any statistically significant correlation with the cytofluorimetry data. Our data demonstrated that none of the two scores show an association with the level of total lymphocytes or lymphocyte subclasses. First of all, the sample taken into consideration is small. The assessment was performed only at disease onset and not during the disease. Furthermore, the severity scores do not take into account disease activity (measured by PET/CT or gallium scintigraphy). Lymphocyte subpopulation values at the time of diagnosis do not appear to correlate with disease severity at onset.

Sections du résumé

BACKGROUND BACKGROUND
Sarcoidosis is a systemic inflammatory disease characterized by an altered inflammatory response.
OBJECTIVE OBJECTIVE
The aim of this study was to evaluate whether immune system alterations detected by lymphocyte typing in peripheral blood correlate with the severity of sarcoidosis, calculated according to two separate severity scores proposed by Wasfi in 2006 and Hamzeh in 2010.
MATERIALS AND METHODS METHODS
Eighty-one patients were recruited, and clinical data and laboratory tests at the time of diagnosis were obtained in order to assess the severity index score and investigate any statistically significant correlation with the cytofluorimetry data.
RESULTS RESULTS
Our data demonstrated that none of the two scores show an association with the level of total lymphocytes or lymphocyte subclasses.
LIMITATIONS CONCLUSIONS
First of all, the sample taken into consideration is small. The assessment was performed only at disease onset and not during the disease. Furthermore, the severity scores do not take into account disease activity (measured by PET/CT or gallium scintigraphy).
CONCLUSIONS CONCLUSIONS
Lymphocyte subpopulation values at the time of diagnosis do not appear to correlate with disease severity at onset.

Identifiants

pubmed: 37761266
pii: diagnostics13182899
doi: 10.3390/diagnostics13182899
pmc: PMC10530165
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Rossella Cifaldi (R)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Francesco Salton (F)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Paola Confalonieri (P)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Liliana Trotta (L)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Mariangela Barbieri (M)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Luca Ruggero (L)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Gianmaria Valeri (G)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Riccardo Pozzan (R)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Rossana Della Porta (R)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Metka Kodric (M)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Elisa Baratella (E)

Department of Radiology, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Mattia Bellan (M)

Department of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.
Center for Autoimmune and Allergic Disease (CAAD), Università del Piemonte Orientale (UPO), 28100 Novara, Italy.
Department of Internal Medicine, University Hospital, Maggiore della Carità, 28100 Novara, Italy.

Selene Lerda (S)

Management Specialization School, University of Milan, 20149 Milano, Italy.

Michael Hughes (M)

Division of Musculoskeletal and Dermatological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester & Salford Royal NHS Foundation Trust, Manchester M6 8HD, UK.

Marco Confalonieri (M)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Maria Assunta Cova (MA)

Department of Radiology, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Ilaria Gandin (I)

Biostatistics Unit, Department of Medical Sciences, University of Trieste, 34149 Trieste, Italy.

Lucrezia Mondini (L)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Barbara Ruaro (B)

Pulmonology Unit, Department of Medical Surgical and Healt Sciencies, Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.

Classifications MeSH