scholarly journals Tu1873 A Population of Cytokine Deficient CD4+ T Cells is Associated With Increased Body Mass Index and Intestinal Inflammation

2012 ◽  
Vol 142 (5) ◽  
pp. S-866
Author(s):  
Jacqueline M. Leung ◽  
Ilseung Cho ◽  
Michael Davenport ◽  
Martin J. Wolff ◽  
Thomas A. Ullman ◽  
...  
2020 ◽  
Author(s):  
Desilu Mahari Desta ◽  
Tesfay Mehari Atey ◽  
Fikermaryam Girma ◽  
Kald Beshir Tuem ◽  
Abadi Kahsu Gebre ◽  
...  

Abstract Background: The co-infection of TB/HIV poses a significant burden in the health care system of developing countries like Ethiopia. There are conflicting results on preference of the time to initiate anti-retroviral therapy (ART) and hence assessing the survival experience and treatment outcomes associated with ART initiation is crucial to settle the controversies. The study compared the treatment outcomes in early versus later ART initiation in TB/HIV co-infected patients. Methods: A retrospective cohort study was conducted in Ayder Comprehensive Specialized Hospital and Mekelle Referral Hospital on 77 and 105 patients that started ART early and lately, respectively. An assumption for proportional hazard was met. Kaplan-Meier and life-table analyses were used to compare survival curves; and an independent samples t -test was used to compare means of the continuous variables between the two cohorts. Moreover, incidence per 100 persons-years were employed to crudely determine new morality rates and Cox regression analysis was done to find out the effects of independent variables on the outcome variables. Results: The mean survival time was 5.8 months after ART initiation. A 9.9 and 5.5 new incident mortality rates per 10,000 persons–years for the early and late ART initiation were observed, respectively. There was a statistically significant difference in mean CD4 + T cells between early (208.20 ± 11.94 cells/mm 3 ) and late (245.94 ± 11.69 cells/mm 3 ) ART initiators (t 180 = -2.213, p < 0.028). Additionally, late initiators had a better survival chance at all levels of time (Log Rank c 2 =5.56, p <0.018) than early initiators. Having normal body mass index [adjusted hazard ratio [AHR=0.263; 95% confidence interval [CI]: 0.089–0.778] and having a ‘working’ baseline functional status [AHR=0.151; 95% CI: 0.054–0.427] were found to be preventive factors from death. However, patients with < 250 CD4 + T cells/mm 3 were more likely to die earlier [AHR=12.023; 95%: 1.588–91.005] than their counterpart groups. Conclusion: This study highlights that TB/HIV co-infected patients with moderate immunosuppression who started their ART early had worse outcome than those who started their ART lately. Moreover, body mass index, baseline functional status, and CD4 count were found to be independent predictors of mortality. Keywords: Treatment outcome, early ART initiation, late ART initiation, TB/HIV co-infection


2020 ◽  
Author(s):  
Luca Pangrazzi ◽  
Erin Naismith ◽  
Carina Miggitsch ◽  
Jose’ Antonio Carmona Arana ◽  
Michael Keller ◽  
...  

Abstract Background. Obesity has been associated with chronic inflammation and oxidative stress. Both conditions play a determinant role in the pathogenesis of age-related diseases, such as immunosenescence. Adipose tissue can modulate the function of the immune system with the secretion of molecules influencing the phenotype of immune cells. Recently, the importance of the bone marrow (BM) in the maintenance of antigen-experienced adaptive immune cells has been documented. Despite this, whether high body mass index (BMI) may affect immune cells in the BM and the production of molecules supporting the maintenance of these cells it is unknown. Methods. Using flow cytometry, the frequency and the phenotype of immune cell populations were measured in paired BM and PB samples obtained from persons with different BMI. Furthermore, the expression of BM cytokines was assessed. The influence of cytomegalovirus (CMV) on T cell subsets was additionally considered, dividing the donors into the CMV - and CMV + groups. Results. Our study suggests that increased BMI may affect both the maintenance and the phenotype of adaptive immune cells in the BM. While the BM levels of IL-15 and IL-6, supporting the survival of highly differentiated T cells, and oxygen radicals increased in overweight persons, the production of IFNγ and TNF by CD8 + T cells was reduced. In addition, the frequency of B cells and CD4 + T cells positively correlated with BMI in the BM of CMV - persons. Finally, the frequency of several T cell subsets, and the expression of senescence/exhaustion markers within these subpopulations, were affected by BMI. In particular, the levels of bona fide memory T cells may be reduced in overweight persons. Conclusion. Our work suggests that obesity may represent an independent risk factor supporting immunosenescence, in addition to aging and CMV. Metabolic interventions may help in improving the fitness of the immune system in the elderly.


Immunity ◽  
2004 ◽  
Vol 20 (6) ◽  
pp. 681-693 ◽  
Author(s):  
Akira Hokama ◽  
Emiko Mizoguchi ◽  
Ken Sugimoto ◽  
Yasuyo Shimomura ◽  
Yosuke Tanaka ◽  
...  

2015 ◽  
Vol 36 (4) ◽  
pp. 1259-1273 ◽  
Author(s):  
Virginia Seiffart ◽  
Julia Zoeller ◽  
Robert Klopfleisch ◽  
Munisch Wadwa ◽  
Wiebke Hansen ◽  
...  

Background/Aims: IL10 is a key inhibitor of effector T cell activation and a mediator of intestinal homeostasis. In addition, IL10 has emerged as a key immunoregulator during infection with various pathogens, ameliorating the excessive T-cell responses that are responsible for much of the immunopathology associated with the infection. Because IL10 plays an important role in both intestinal homeostasis and infection, we studied the function of IL10 in infection-associated intestinal inflammation. Methods: Wildtype mice and mice deficient in CD4+ T cell-derived or regulatory T cells-derived IL10 were infected with the enteric pathogen Citrobacter (C.) rodentium and analyzed for the specific immune response and pathogloy in the colon. Results: We found that IL10 expression is upregulated in colonic tissue after infection with C. rodentium, especially in CD4+ T cells, macrophages and dendritic cells. Whereas the deletion of IL10 in regulatory T cells had no effect on C. rodentium induced colitis, infection of mice deficient in CD4+ T cell-derived IL10 exhibited faster clearance of the bacterial burden but worse colitis, crypt hyperplasia, and pathology than did WT mice. In addition, the depletion of CD4+ T cell-derived IL10 in infected animals was accompanied by an accelerated IFNγ and IL17 response in the colon. Conclusion: Thus, we conclude that CD4+ T cell-derived IL10 is strongly involved in the control of C. rodentium-induced colitis. Interference with this network could have implications for the treatment of infection-associated intestinal inflammation.


1993 ◽  
Vol 5 (11) ◽  
pp. 1461-1471 ◽  
Author(s):  
Flona Powrie ◽  
Michael W. Leach ◽  
Smita Mauze ◽  
Linda Barcomb Caddie ◽  
Robert L. Coffman

2009 ◽  
Vol 206 (3) ◽  
pp. 525-534 ◽  
Author(s):  
Melanie A. Kleinschek ◽  
Katia Boniface ◽  
Svetlana Sadekova ◽  
Jeff Grein ◽  
Erin E. Murphy ◽  
...  

The C-type lectin-like receptor CD161, which has recently been described to promote T cell expansion, is expressed on a discrete subset of human CD4 T cells. The function of such cells, however, has remained elusive. We now demonstrate that CD161+ CD4 T cells comprise a circulating and gut-resident T helper 17 (Th17) cell population. During Crohn's disease (CD), these CD161+ cells display an activated Th17 phenotype, as indicated by increased expression of interleukin (IL)-17, IL-22, and IL-23 receptor. CD161+ CD4 T cells from CD patients readily produce IL-17 and interferon γ upon stimulation with IL-23, whereas, in healthy subjects, priming by additional inflammatory stimuli such as IL-1β was required to enable IL-23–induced cytokine release. Circulating CD161+ Th17 cells are imprinted for gut homing, as indicated by high levels of CC chemokine receptor 6 and integrin β7 expression. Supporting their colitogenic phenotype, CD161+ Th17 cells were found in increased numbers in the inflammatory infiltrate of CD lesions and induced expression of inflammatory mediators by intestinal cells. Our data identify CD161+ CD4 T cells as a resting Th17 pool that can be activated by IL-23 and mediate destructive tissue inflammation.


2017 ◽  
Vol 75 (5) ◽  
pp. e132-e141 ◽  
Author(s):  
Michael J. A. Reid ◽  
Sanjiv M. Baxi ◽  
Lila A. Sheira ◽  
Alan L. Landay ◽  
Edward A. Frongillo ◽  
...  

2021 ◽  
Vol 27 (Supplement_1) ◽  
pp. S33-S33
Author(s):  
Wenjing Yang ◽  
Suxia Yao ◽  
Sara Dann ◽  
Yingzi Cong

Abstract Irregular CD4+ effector T cell responses play an essential role in the intestinal inflammation, while IL-10 produced by effector T cells limits their pathogenesis to maintain the intestinal homeostasis. Dietary free fatty acids are actively involved in regulating immune responses, and mammalian G protein-coupled receptor (GPR) 120, a receptor for long-chain fatty acids, has been implicated in metabolic syndrome. However, the effect of GPR120 on intestinal homeostasis is still unknown. Here, we showed that deficiency of GPR120 resulted in more severe colitis in mice induced by dextran sodium sulfate (DSS) and Citrobacter Rodentium. Interestingly, CD4+ T cells expressed a high level of GPR120, and mice specifically lacking GPR120 in CD4+ T cells were more susceptible to DSS-induced colitis. Besides, GPR120-deficient CD45Rbhi CD4+ cells are more colitogenic in Rag-/- mice, in which IL-17 and IFNg producing CD4+ T cells were increased but IL-10 production by CD4+ T cells was reduced. Furthermore, CpdA, the GPR120 agonist, promoted CD4+ T effector cell production of IL-10 through upregulating Blimp1 and inducing glycolysis, which were regulated by mTOR pathway. Besides, docosahexaenoic acid, a dietary long-chain fatty acid, also upregulated the IL-10 production in CD4+ T cells. Additionally, GPR120 agonist-treated Th1 effector cells induced less severe colitis, whereas this protection was absent in Blimp1-deficient Th1 cells. Importantly, oral administration of CpdA protected mice against intestinal inflammation. Thus, our findings demonstrate the roles of dietary fatty acids receptor GPR120 in regulating intestinal CD4+ T cell production of IL-10 and intestinal homeostasis.


2020 ◽  
Vol 158 (6) ◽  
pp. S-1262
Author(s):  
Ci Zhu ◽  
nicole boucheron ◽  
Daniela Hainberger ◽  
Valentina Stolz ◽  
Ramona Rica ◽  
...  

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