Absence of circulating natural killer and primed CD8+ cells in life-threatening varicella

Autor: Menno D. de Jong, Paul A. Baars, Mireille T. M. Vossen, Reneé A.W. van Lier, Taco W. Kuijpers, Maarten H. Biezeveld, Mi-Ran Gent, Ines A. von Rosenstiel
Přispěvatelé: General Paediatrics, Other departments, Landsteiner Laboratory, Experimental Immunology, Amsterdam institute for Infection and Immunity, Paediatric Infectious Diseases / Rheumatology / Immunology, Faculteit der Geneeskunde
Jazyk: angličtina
Rok vydání: 2005
Předmět:
Zdroj: Journal of infectious diseases, 191(2), 198-206. Oxford University Press
The Journal of Infectious Diseases, 191(2), 198-206. Oxford University Press
ISSN: 0022-1899
Popis: Five pediatric patients with no history of immunodeficiency had a life-threatening course of varicella. Strikingly, natural killer (NK) cells were absent from the circulation in all children, and, despite active viral infection, up to 98% of the CD8(+) cells were naive. Primary immunodeficiencies were excluded--NK cells and primed CD8(+) cells reappeared in the circulation, granzymes were detectable in plasma early during infection, and no abnormalities could be detected in interleukin-15 receptor function. Our data indicate that varicella-zoster virus (VZV) has a unique capability to seclude primed CD8(+) cells and NK cells from the circulating lymphocyte pool. This may be the consequence of an overwhelming immune response to VZV that is influenced by factors such as infectious dose, age, and the presence of maternal antibodies during infancy. Because both homozygous twin sisters in the study had a severe course of varicella, particular genetic factors may contribute to severe varicella.
Databáze: OpenAIRE