Diminished adhesion of CD4+ T cells from dialysis patients to extracellular matrix and its components fibronectin and laminin

Autor: Ze'ev Korzets, Y. A. Mekori, Mauro Rathaus, Ella Zeltzer, Rami Hershkoviz, Joelle Bernheim
Rok vydání: 1998
Předmět:
Zdroj: Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association. 12(12)
ISSN: 0931-0509
Popis: Background. Cell-mediated immunity is impaired in uraemia. The recognition and ensuing interactions of immune cells, such as CD4+ T lymphocytes, with adhesive glycoproteins of the extra-cellular matrix ( ECM ) are mediated by integrins of the b 1 subfamily. Introduction We have previously demonstrated that uraemic sera inhibit the proliferation and adhesion of normal An immunodeficient state is a recognized feature of CD4+ T cells to ECM components. In the present end-stage renal disease ( ESRD) manifested by prostudy, the adhesive capacity of CD4+ T lymphocytes longed tolerance to allografts [1], increased susceptibilof dialyzed patients (both haemodialysis [ HD] and ity to infections [2,3], an abnormally high incidence of continuous ambulatory peritoneal dialysis [CAPD] was neoplasia [4], anergy and a defective response to evaluated. vaccination [5,6 ]. The pathogenesis underlying this Methods. Adhesion of CD4+ T cells from dialysis impaired immunity is multifactorial, and concerns, patients to intact ECM and its immobilized moieties, among other things, T cell function, although the ratio fibronectin ( FN ) and laminin (LN ) was measured of CD 4 and CD 8 T cell subsets is within the normal following phorbol-12-myristate-13-acetate (PMA) range [7]. Uraemic serum markedly diminishes the stimulation. In addition, cell surface expression of b 1 proliferative response of normal T cells [8,9], sugintegrins ( VLA 4‐6) was determined by FACScan gesting the presence of circulating inhibitory subanalysis. stances. Uraemic T lymphocytes demonstrate an Results. Compared to normal cells, CD4+ T cells of impaired blastogenic response to mitogens and antidialysis patients demonstrated a significantly reduced gens [10]. The defective proliferation of T cells is adhesion to ECM, FN and LN (27‐28 vs 52‐55%, associated with a decreased production of interleukin-2 P
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