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https://hdl.handle.net/2440/60811
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Type: | Journal article |
Title: | Lymphocytic bronchiolitis is associated with inadequate suppression of blood T-cell granzyme B, IFN-γ, and TNF-α |
Other Titles: | Lymphocytic bronchiolitis is associated with inadequate suppression of blood T-cell granzyme B, IFN-gamma, and TNF-alpha |
Author: | Hodge, G. Hodge, S. Liew, C. Chambers, D. Hopkins, P. Reynolds, P. Holmes, M. |
Citation: | Transplantation, 2010; 89(10):1283-1289 |
Publisher: | Lippincott Williams & Wilkins |
Issue Date: | 2010 |
ISSN: | 0041-1337 1534-6080 |
Statement of Responsibility: | Greg Hodge, Sandra Hodge, Chien Li-Liew, Daniel Chambers, Peter Hopkins, Paul N. Reynolds, Mark Hodge |
Abstract: | Background. Lymphocytic bronchiolitis (LB) has been shown to be an important factor for the subsequent development of obliterative bronchiolitis (OB). We have previously shown that OB, which limits long-term survival after lung transplantation, is associated with lack of suppression of peripheral blood T-cell granzyme B, interferon (IFN)-[gamma], and tumor necrosis factor (TNF)-[alpha]. However, the role of these proinflammatory mediators in LB is unknown. We hypothesized that these proinflammatory mediators may also be increased during LB episodes despite standard immunosuppression regimens. Methods. T-cell intracellular cytokine profiles and granzyme B were studied in whole blood, bronchoalveolar lavage samples, and bronchial brushings from stable lung transplant patients with LB and from healthy controls, using multiparameter flow cytometry. Results. There was a significant increase in peripheral blood T-cell granzyme B and CD8+ T-cell IFN-[gamma] and TNF-[alpha] in patients with LB compared with control and stable groups and a decrease in CD25+CD127-CD3+CD8- T regulatory cells in stable and LB transplant patients compared with controls. No changes were noted in the airways. Conclusions. LB is associated with inadequate suppression of peripheral blood T-cell granzyme B, IFN-[gamma], and TNF-[alpha]. Drugs that effectively reduce these proinflammatory mediators may improve current protocols for treating LB and possibly reduce subsequent progression to OB in lung transplant patients. |
Keywords: | Lung transplant Lymphocytic bronchiolitis Granzyme B IFN-[gamma] TNF-[alpha]. |
Rights: | (C) 2010 Lippincott Williams & Wilkins, Inc. |
DOI: | 10.1097/TP.0b013e3181d75971 |
Published version: | http://dx.doi.org/10.1097/tp.0b013e3181d75971 |
Appears in Collections: | Aurora harvest 5 Paediatrics publications |
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