Overexpression of Fas/CD95 and Fas‐Induced Apoptosis in a Patient with Idiopathic CD4+ T Lymphocytopenia

Autor: E. Counillon, Alain Bernard, Jean-Philippe Breittmayer, Ghislaine Bernard-Pomier, Pierre Dellamonica, Pierre-Marie Roger
Rok vydání: 1999
Předmět:
Zdroj: Clinical Infectious Diseases. 28:1012-1016
ISSN: 1537-6591
1058-4838
Popis: The mechanisms of apoptosis have become better understood, in part with the discovery of Fas/ CD95. We report the case of a patient characterized by a decreased CD4 - T cell count and an overexpression of Fas/CD95 resulting in apoptosis. A 54-year-old man presented with disseminated Mycobacterium xenopi infection. Analysis showed CD4 + T lymphopenia. Tests for human immunodeficiency virus (HIV) types 1 and 2 were negative. We compared the patient with eight healthy controls and five HIV-infected patients in terms of the expression of Fas/CD95 and Fas-mediated apoptosis of peripheral T lymphocytes. The percent of CD95 + cells in lymphocytes was 98% for the patient, and the mean percent of CD95 + cells in lymphocytes ± SD for HIV-infected patients and healthy controls was 75% ± 16% and 36% ± 26%, respectively. The patient had a high level of spontaneous apoptosis, and apoptotic cells were all identified as being CD4 + T cells. Monoclonal antibodies to CD95 dramatically increased apoptosis of CD4 + T cells exclusively. CD4 + T lymphopenia observed in our patient correlated with an overexpression of Fas together with spontaneous and Fas-induced apoptosis.
Databáze: OpenAIRE