Decrease of cytotoxic T cells in allergic asthma correlates with total serum immunglobulin E

Authors: Bratke, K.; Haupt, F.; Kuepper, M.; Bade, B.; Faehndrich, S.; Luttmann, W.; Virchow, J. C.

Source: Allergy, Volume 61, Number 11, November 2006 , pp. 1351-1357(7)

Publisher: Blackwell Publishing

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Abstract:

Background: 

Allergic asthma has been linked to an increase in T-helper type 2-like cytokines and T cells, but there is growing evidence for a role of lymphocyte-mediated cytotoxic mechanisms in the pathogenesis of asthma. Therefore, we investigated the cytotoxic potential of different lymphocyte subpopulations in patients with allergic asthma. Methods: 

Granzyme A, B, K, and perforin expression in peripheral blood lymphocytes was analyzed using flow cytometry. Soluble granzymes were measured in serum using specific enzyme-linked immunosorbent assays. Results: 

Asthmatics had significantly decreased percentages of granzyme and perforin-positive CD4 T cells compared with non-atopic controls. In patients with asthma, the granzyme B and perforin-positive subset of CD8+ T cells and natural killer T cells, which represent more differentiated cell populations, were significantly reduced, while this was not observed in the less differentiated granzyme K+ subsets. In addition, the serum concentrations of granzyme B were significantly reduced in patients with asthma, while granzyme K concentrations were not different. Interestingly, there was a negative correlation between granzyme A, B and perforin expression in T cell subsets as well as serum granzyme B concentrations and total serum immunglobulin E. In CD3-negative natural killer cells, no differences in granzyme or perforin expression between patients with asthma and controls were detected. Conclusion: 

In allergic asthma, cytotoxic T lymphocyte subsets of a more differentiated phenotype are significantly decreased and this is correlated to serum immunglobulin E levels.

Keywords: apoptosis; atopy; cytotoxic lymphocyte; granzyme; perforin

Document Type: Research article

DOI: 10.1111/j.1398-9995.2006.01192.x

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