title: Characterization of the T cell receptor repertoire in patients with common variable immunodeficiency: oligoclonal expansion of CD8(+) T cells.
abstract: Common variable immunodeficiency is characterized by an impairment in antibody production of at least two immunoglobulin isotypes, and abnormalities of both B and T cells have also been described. In this study, a profound alteration of the T cell receptor repertoire was noted, especially in CD8(+) T cells, in CVID patients when compared to a control group. However, the higher number of oligoclonally expanded populations seen in the patient group was not dependent on age, whereas in the control group an age-related accumulation of these populations was noted. Expansion of CD8(+) CD28(-) T cells in these patients is strongly correlated with T cell receptor repertoire restriction. Furthermore, analysis of cytokine production showed a statistically significant increase in IFN-gamma secretion in the patient group. Lastly, CD94 and perforin were expressed at increased frequencies on CD8(+) T cells in the patient group when compared to the control group. We speculate that these findings support the concept that CD8(+) T cells may play an important regulatory role in CVID.
authors: Division of Clinical Immunology, Mt. Sinai Medical Center, New York, New York 10029, USA.
authors: D
authors: D
authors: Serrano
authors: K
authors: K
authors: Becker
authors: C
authors: C
authors: Cunningham-Rundles
authors: L
authors: L
authors: Mayer
mesh_terms: D000328:Adult; D000368:Aged; D018106:CD28 Antigens / Q000032:analysis; D018414:CD8-Positive T-Lymphocytes / Q000737:chemistry / Q000378:metabolism; D002999:Clone Cells / Q000166:cytology; D017074:Common Variable Immunodeficiency / Q000378:metabolism* / Q000473:pathology; D016207:Cytokines / Q000096:biosynthesis; D005260:Female; D006801:Humans; D007371:Interferon-gamma / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D011948:Receptors, Antigen, T-Cell / Q000302:isolation & purification*
chemical_list: D018106:CD28 Antigens; D016207:Cytokines; D011948:Receptors, Antigen, T-Cell; D007371:Interferon-gamma