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Type: Journal article
Title: Increased intracellular pro- and anti-inflammatory cytokines in bronchoalveolar lavage T cells of stable lung transplant patients
Author: Hodge, G.
Hodge, S.
Reynolds, P.
Holmes, M.
Citation: Transplantation, 2005; 80(8):1040-1045
Publisher: Lippincott Williams & Wilkins
Issue Date: 2005
ISSN: 0041-1337
Abstract: <h4>Background</h4>Allograft rejection remains a major cause of morbidity and mortality following lung transplantation and is associated with an increased expression of T-cell proinflammatory cytokines. We have recently shown that peripheral blood T-cell proinflammatory cytokine production was significantly reduced in stable lung transplant patients consistent with immunosuppression therapy. However, analysis of inflammatory cytokine profiles in bronchoalveolar lavage (BAL) T cells may be more relevant than peripheral blood T cells for assessing graft status.<h4>Methods</h4>To investigate the immunomodulatory effects of currently used immunosuppressive regimens on BAL T-cell cytokine production, whole blood and BAL from stable lung transplant patients and control volunteers was stimulated in vitro and cytokine production by CD8+ and CD4+ T-cell subsets determined using multiparameter flow cytometry.<h4>Results</h4>There was a significant decrease in T-cell proinflammatory cytokine production in BAL compared with blood from control subjects but not transplant patients. Anti-inflammatory cytokine IL-4 was increased in BAL compared with blood from both groups. There was a significant increase in IFNgamma, IL-2, IL-4, TGFbeta, and TNFalpha production by CD8 T cells and IFNgamma and TNFalpha production by CD4 T cells in BAL from transplant patients compared with controls.<h4>Conclusions</h4>We have shown decreased T-cell pro- and anti-inflammatory cytokine production in BAL compared with blood in control subjects but not in stable lung transplant patients. Current immunosuppression protocols have limited effect on T-cell proinflammatory cytokine production in BAL but do upregulate anti-inflammatory cytokines IL-4 and TGFbeta. Drugs that effectively reduce T-cell proinflammatory cytokine production in BAL may improve current protocols for reducing graft rejection in these patients.
Keywords: Lung; CD4-Positive T-Lymphocytes; CD8-Positive T-Lymphocytes; Bronchoalveolar Lavage Fluid; Humans; Immunosuppressive Agents; Cytokines; CD4-CD8 Ratio; Lung Transplantation; Graft Rejection; Adult; Female; Male
RMID: 0020052158
DOI: 10.1097/01.TP.0000173997.92753.25
Appears in Collections:Paediatrics publications

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