Common Variable Immunodeficiency and Circulating TFH

CD4+ T follicular helper cells (TFH) were assessed in adult patients with common variable immune deficiency (CVID) classified according to the presence of granulomatous disease (GD), autoimmunity (AI), or both GD and AI (Group I) or the absence of AI and GD (Group II). TFH lymphocytes were character...

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Main Authors: Ana Coraglia, Nora Galassi, Diego S. Fernández Romero, M. Cecilia Juri, Marta Felippo, Alejandro Malbrán, María M. E. de Bracco
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2016/4951587
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author Ana Coraglia
Nora Galassi
Diego S. Fernández Romero
M. Cecilia Juri
Marta Felippo
Alejandro Malbrán
María M. E. de Bracco
author_facet Ana Coraglia
Nora Galassi
Diego S. Fernández Romero
M. Cecilia Juri
Marta Felippo
Alejandro Malbrán
María M. E. de Bracco
author_sort Ana Coraglia
collection DOAJ
description CD4+ T follicular helper cells (TFH) were assessed in adult patients with common variable immune deficiency (CVID) classified according to the presence of granulomatous disease (GD), autoimmunity (AI), or both GD and AI (Group I) or the absence of AI and GD (Group II). TFH lymphocytes were characterized by expression of CXCR5 and PD-1. TFH were higher (in both absolute number and percentage) in Group I than in Group II CVID patients and normal controls (N). Within CXCR5+CD4+ T cells, the percentage of PD-1 (+) was higher and that of CCR7 (+) was lower in Group I than in Group II and N. The percentages of Treg and TFH reg were similar in both CVID groups and in N. TFH responded to stimulation increasing the expression of the costimulatory molecules CD40L and ICOS as did N. After submitogenic PHA+IL-2 stimulation, intracellular expression of TFH cytokines (IL-10, IL-21) was higher than N in Group I, and IL-4 was higher than N in Group II. These results suggest that TFH are functional in CVID and highlight the association of increased circulating TFH with AI and GD manifestations.
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issn 2314-8861
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series Journal of Immunology Research
spelling doaj-art-b9da62f1bdca488e9460c5e60964c1352025-08-20T02:18:57ZengWileyJournal of Immunology Research2314-88612314-71562016-01-01201610.1155/2016/49515874951587Common Variable Immunodeficiency and Circulating TFHAna Coraglia0Nora Galassi1Diego S. Fernández Romero2M. Cecilia Juri3Marta Felippo4Alejandro Malbrán5María M. E. de Bracco6Instituto de Investigaciones Hematológicas (IIHEMA), Academia Nacional de Medicina, C1425ASU Ciudad Autónoma de Buenos Aires, ArgentinaIMEX-CONICET, Academia Nacional de Medicina, C1425ASU Ciudad Autónoma de Buenos Aires, ArgentinaUnidad de Alergia, Asma e Inmunología Clínica, C1035AAT Ciudad Autónoma de Buenos Aires, ArgentinaUnidad de Alergia, Asma e Inmunología Clínica, C1035AAT Ciudad Autónoma de Buenos Aires, ArgentinaIMEX-CONICET, Academia Nacional de Medicina, C1425ASU Ciudad Autónoma de Buenos Aires, ArgentinaUnidad de Alergia, Asma e Inmunología Clínica, C1035AAT Ciudad Autónoma de Buenos Aires, ArgentinaInstituto de Investigaciones Hematológicas (IIHEMA), Academia Nacional de Medicina, C1425ASU Ciudad Autónoma de Buenos Aires, ArgentinaCD4+ T follicular helper cells (TFH) were assessed in adult patients with common variable immune deficiency (CVID) classified according to the presence of granulomatous disease (GD), autoimmunity (AI), or both GD and AI (Group I) or the absence of AI and GD (Group II). TFH lymphocytes were characterized by expression of CXCR5 and PD-1. TFH were higher (in both absolute number and percentage) in Group I than in Group II CVID patients and normal controls (N). Within CXCR5+CD4+ T cells, the percentage of PD-1 (+) was higher and that of CCR7 (+) was lower in Group I than in Group II and N. The percentages of Treg and TFH reg were similar in both CVID groups and in N. TFH responded to stimulation increasing the expression of the costimulatory molecules CD40L and ICOS as did N. After submitogenic PHA+IL-2 stimulation, intracellular expression of TFH cytokines (IL-10, IL-21) was higher than N in Group I, and IL-4 was higher than N in Group II. These results suggest that TFH are functional in CVID and highlight the association of increased circulating TFH with AI and GD manifestations.http://dx.doi.org/10.1155/2016/4951587
spellingShingle Ana Coraglia
Nora Galassi
Diego S. Fernández Romero
M. Cecilia Juri
Marta Felippo
Alejandro Malbrán
María M. E. de Bracco
Common Variable Immunodeficiency and Circulating TFH
Journal of Immunology Research
title Common Variable Immunodeficiency and Circulating TFH
title_full Common Variable Immunodeficiency and Circulating TFH
title_fullStr Common Variable Immunodeficiency and Circulating TFH
title_full_unstemmed Common Variable Immunodeficiency and Circulating TFH
title_short Common Variable Immunodeficiency and Circulating TFH
title_sort common variable immunodeficiency and circulating tfh
url http://dx.doi.org/10.1155/2016/4951587
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AT diegosfernandezromero commonvariableimmunodeficiencyandcirculatingtfh
AT mceciliajuri commonvariableimmunodeficiencyandcirculatingtfh
AT martafelippo commonvariableimmunodeficiencyandcirculatingtfh
AT alejandromalbran commonvariableimmunodeficiencyandcirculatingtfh
AT mariamedebracco commonvariableimmunodeficiencyandcirculatingtfh