title: Inverted V delta 1/V delta 2 ratio within the T cell receptor (TCR)-gamma delta T cell population in peripheral blood of heart transplant recipients.
abstract: We investigated the levels of TCR-gamma delta T cells and their subpopulations V delta 1 and V delta 2 in the peripheral blood lymphocytes (PBL) of 28 heart transplant (HTx) patients. Patients (n = 10) receiving cyclosporin A (CsA) for treatment of a nephrotic syndrome (NS) and 10 healthy individuals served as controls. There was no difference in levels of TCR-gamma delta T cells between the different groups. However, an elevated proportion of V delta 1+ gamma delta T cells was found in the PBL of HTx patients, especially when these cells were present in their graft-infiltrating lymphocyte (GIL) cultures. V delta 1+ gamma delta T cells of HTx patients showed normal expression of CD45RO and lacked the activation markers CD25 and HLA-DR. After expanding in IL-2-containing medium, PBL cultures of HTx patients more often were dominated by V delta 1 cells than PBL cultures of controls, in which V delta 2 cells were predominantly grown. The aberrant composition of the TCR-gamma delta population in HTx patients was not a result of immunosuppressive medication, since the proportion V delta 1+ gamma delta T cells was normal in the PBL of the NS patients receiving a similar dose of CsA. It is postulated that long-term antigenic stimulation by the graft, at low level, might be responsible for the altered composition of the gamma delta pool in the HTx patients. Since no donor HLA-specific gamma delta T cells have been detected, other ligands, such as heat shock proteins, may be involved.
authors.affiliation: Department of Internal Medicine I, University Hospital Rotterdam-Dijkzigt, The Netherlands.
authors.forename: L M
authors.initials: LM
authors.lastname: Vaessen
authors.forename: F
authors.initials: F
authors.lastname: Schipper
authors.forename: C
authors.initials: C
authors.lastname: Knoop
authors.forename: F H
authors.initials: FH
authors.lastname: Claas
authors.forename: W
authors.initials: W
authors.lastname: Weimar
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015703:Antigens, CD / Q000032:analysis; D005260:Female; D016027:Heart Transplantation / Q000276:immunology*; D006801:Humans; D007376:Interleukin-2 / Q000494:pharmacology; D008213:Lymphocyte Activation; D018655:Lymphocyte Count; D008297:Male; D008875:Middle Aged; D016692:Receptors, Antigen, T-Cell, gamma-delta / Q000378:metabolism*; D016176:T-Lymphocyte Subsets / Q000145:classification* / Q000276:immunology* / Q000378:metabolism
chemical_list: D015703:Antigens, CD; D007376:Interleukin-2; D016692:Receptors, Antigen, T-Cell, gamma-delta