Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-28T01:05:22.107Z Has data issue: false hasContentIssue false

AIDS-like disproportion of minor T-cell subsets in Japanese patients with Wegener's granulomatosis

Published online by Cambridge University Press:  29 June 2007

Makoto Ikeda*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, National Defense Medical College, Saitama, Japan
Yoshiya Katsura
Affiliation:
Department of Microbiology, National Defense Medical College, Saitama, Japan
Sumiaki Tsuru
Affiliation:
Department of Microbiology, National Defense Medical College, Saitama, Japan
Tetsuzo Inouye
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, National Defense Medical College, Saitama, Japan
Gerald B. Healy
Affiliation:
Department of Otology and Laryngology, Havard Medical School, Boston, MA.
*
Dr Ikeda, Department of Otolaryngology-Head and Neck Surgery, National Defense Medical College, 3–2 Namiki, Tokorozawa, Saitama, Japan.

Abstract

Fifteen Japanese patients with Wegener's granulomatosis (WG) were evaluated according to their lymphocyte subset abnormalities. Two colour immunofluorescent flow cytometry was used to distinguish the lymphocyte subset alterations. WG group showed a decrease in the percentage of CD4+ cells and the increase of CD8 + cells. Within the NK cell family, the functionally unidentified CD8 +57 + cells were markedly elevated. The disproportion of thelymphocyte subsets (CD4 +↓ CD8 +57 +↑) were similar to those of Acquired Immunodeficiency Syndrome (AIDS) and AIDS relating complexes (ARC). To assesssilent infection of Human immunodeficiency virus (HIV), the polymerase chain reaction (PCR) wasdone for all patients to selectively amplify specific HIV proviral DNA sequences in peripheral blood mononuclear cells, HIV-1 proviral DNA was not found in any patients but these changes of WG might suggest a possible adaptive response to unknown viral infection.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bast, R. C, Reinherz, E. L., Maver, C, Lavin, P., Schlossman, S. T. (1983) Contrasting effects of cyclophosphamide and prednisolone on the phenotype of human peripheral blood leukocytes. Clinical Immunology and Immunopathology, 28: 101114.CrossRefGoogle ScholarPubMed
Fauci, A. S., Wolff, S. M. (1973) Wegener's granulomatosis: Studies in 18 patients and a review of the literature. Medicine, 52: 535561.CrossRefGoogle Scholar
Giorgi, J. V., Detels, R. (1989) T-cell subset alterations in HIVinfected homosexual men: NIAID multicentre AIDS cohort study. Clinical Immunology and Immunopathology, 52: 1018.Google Scholar
Lewis, D. E., Puck, J. M., Babcock, G. E, Rich, R. R. (1985) Disproportionate expansion of a minor T cell subset in patients with Lymphadenopathy Syndrome and Acquired Immunodeficiency Syndrome. Journal of Infectious Disease, 151: 555599.CrossRefGoogle Scholar
Ou, C. Y., Kwok, S., Mitchel, S. W., Mack, D. H., Sninsky, J. J., Krebs, J. W., Feorino, P., Warfield, D., Schochetman, G. (1988) DNA amplification for direct detection of HIV-1 in DNA of peripheral blood mononuclear cells. Science, 239: 295297.Google Scholar
Prince, H. E., Kreiss, J. K., Kasper, C. K., Klienman, S., Saunders, A., Waldbeser, L., Mandigo, G., Kaplan, H. S. (1985) Distinctive lymphocyte subpopulation abnormalities in patients with congenital coagulation disorders who exhibit lymph node enlargement. Blood, 66: 6468.CrossRefGoogle ScholarPubMed
Rasmussen, N., Petersen, J., Ralfkiaer, E., Avnstom, S., Wilk, A. (1988) Spontaneous and induced immunoglobulin synthesis and anti-neutrophil cytoplasm antibodies in Wegeners granulomatosis: relation to leukocyte subpopulation in blood and active lesions. Rheumatology International, 8: 153158.Google Scholar
Stites, D. P., Casavant, C. H., Mahugh, T. M., Moss, A. R., Beal, S. L., Ziegler, J. L., Saunders, A. M., Warner, N. L. (1986) Flow cytometric analysis of lymphocyte phenotypes in AIDS using monoclonal antibodies and simultaneous dual immunofiuorescence. Clinical Immunology and Immunopathology, 38: 161177.CrossRefGoogle Scholar
ten Berge, I. J. M., Sauerwen, H. P., Youg, S. L., Schellekens, P. T. A. (1984) Administration of prednisolone in vivo affects the ratio of OKT4øOKT8 and LDH-isoenzyme pattern of human T lymphocytes. Clinical Immunology and Immunopathology, 30: 91103.Google Scholar
ten Berg, I. J. M., Wilmink, J. M., Meyer, C. J., Surachno, J.ten Veen, K. H., Balk, T. G., Schellekens, P. T. A. (1985) Clinical and immunological follow-up of patients with severe renal disease in Wegener's granulomatosis. American Journal of Nephrology 5: 2129.Google Scholar
Westermann, J., Pabst, R. (1990) Lymphocyte subsets in the blood: a diagnostic window on the lymphoid system? Immunology Today, 11: 406410.CrossRefGoogle Scholar
Wolff, S. M., Fauci, A. S., Horn, R. G., Dale, D. C. (1974) Wegener's granulomatosis. Annals of Internal Medicine, 81: 513525.CrossRefGoogle ScholarPubMed