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Dendritic and T Cell Response to Influenza is Normal in the Patients with X-Linked Agammaglobulinemia

tetano

Editor, Senior Moderator
J Clin Immunol. 2012 Feb 1. [Epub ahead of print]
Dendritic and T Cell Response to Influenza is Normal in the Patients with X-Linked Agammaglobulinemia.
Liu Y, Wu Y, Lam KT, Lee PP, Tu W, Lau YL.
Source

Department of Paediatrics & Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Room L7-58, 7/F Laboratory Block, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong, China.
Abstract
INTRODUCTION:

Influenza virus is a potential cause of severe disease in the immunocompromised. X-linked agammaglobulinemia (XLA) is a primary immunodeficiency characterized by the lack of immunoglobulin, B cells, and plasma cells, secondary to mutation in Bruton's tyrosine kinase (Btk) gene. Btk is expressed in both B and dendritic cells (DC). However, little is known about the immune response of DC and T cells to influenza virus in XLA patients.
METHODS:

The in vitro maturation and antigen presenting function of monocyte-derived immature DC (imDC) from 12 XLA patients and 23 age-matched normal controls in response to influenza virus were examined. Influenza virus-specific CD4 and CD8 T cell responses in the patients and controls were further determined after administration of inactivated trivalent influenza vaccine.
RESULTS:

imDC from XLA patients had normal maturation based on major histocompatibility complex (MHC)-I, MHC-II, CD83 and CD86 expression, and interferon (IFN)-α and interleukin-12 production upon influenza virus stimulation. They also had a normal capacity to induce allogeneic T cell proliferation in response to influenza virus. TIV was well tolerated in XLA patients. Influenza virus-specific CD4(+)IFN-γ(+) and CD8(+) IFN-γ(+) T cells and HLA-A2/M1(58-66)-tetramer(+) CTLs could be induced by TIV in XLA patients, and the levels and duration of maintaining these virus-specific cells in XLA patients are comparable to that in normal controls.
CONCLUSION:

We demonstrated for the first time that XLA patients have fully competent DC and T cell immune responses to influenza virus. TIV is safe and could be an option for providing T cell-mediated protection against influenza virus infection in XLA patients.

PMID:
22289994
[PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/22289994
 
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