Immunological abnormalities associated with hereditary haemorrhagic telangiectasia

Autor: H. Plauchu, A. Guilhem, C. Malcus, Sophie Dupuis-Girod, B. Clarivet
Rok vydání: 2013
Předmět:
Zdroj: Journal of Internal Medicine. 274:351-362
ISSN: 1365-2796
0954-6820
DOI: 10.1111/joim.12098
Popis: Objective Hereditary haemorrhagic telangiectasia (HHT) is a genetic disorder related to mutations in one of the coreceptors to the transforming growth factor-β superfamily (ALK1 or endoglin). Besides the obvious vascular symptoms (epistaxis and arteriovenous malformations), patients have an unexplained high risk of severe bacterial infections. The aim of the study was to assess the main immunological functions of patients with HHT using the standard biological tests for primary immunodeficiencies. Design, setting and subjects A prospective single-centre study of 42 consecutive adult patients with an established diagnosis of HHT was conducted at the National French HHT Reference Center (Lyon). Lymphocyte subpopulations and proliferation capacity, immunoglobulin levels and neutrophil and monocyte phagocytosis, oxidative burst and chemotaxis were assessed. Results Innate immunity was not altered in patients with HHT. With regard to adaptive immunity, significant changes were seen in immunological parameters: primarily, a lymphopenia in patients with HHT compared with healthy control subjects affecting mean CD4 (642 cells μL−1 vs. 832 cells μL−1, P
Databáze: OpenAIRE