title: The expansion of CD4+CD28- T cells in patients with chronic kidney graft rejection.
abstract: CD4+CD28- T cells are oligoclonal lymphocytes rarely found in healthy subjects, but are present in high frequencies in patients with inflammatory diseases. Contrary to paradigm, they are functionally active and produce interferon gamma and cytolytic proteins, are cytotoxic in vessels and may contribute to tissue damage. The size of the peripheral blood CD4+CD28- T cell compartments was determined in 20 healthy individuals, 20 patients after renal transplantation with stable graft function, and 20 with chronic graft rejection by two-color FACS analysis. In patients with stable graft function, the median frequency of CD4+CD28- T cells was 3.1% and was significantly higher in comparison to the control group (1.4%) (P <.01). The highest subset CD4+CD28- cells was detected in patients with chronic graft rejection (10.65%). The amount of CD4+CD28- cells was significantly higher in this group in comparison to patients with stable graft function (P <.01). The evaluated number of CD4+CD28- cells in patients after renal transplantation, especially in graft recipients with chronic graft rejection, suggests a role of these cells in chronic graft destruction.
authors.affiliation: Department of Pharmacokinetics and Therapeutic Drug Monitoring, Pomeranian University of Medicine, Al Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland. pawand@poczta.onet.pl
authors.forename: A
authors.initials: A
authors.lastname: Pawlik
authors.forename: M
authors.initials: M
authors.lastname: Florczak
authors.forename: M
authors.initials: M
authors.lastname: Masiuk
authors.forename: G
authors.initials: G
authors.lastname: Dutkiewicz
authors.forename: B
authors.initials: B
authors.lastname: Machalinski
authors.forename: J
authors.initials: J
authors.lastname: Rozanski
authors.forename: L
authors.initials: L
authors.lastname: Domanski
authors.forename: B
authors.initials: B
authors.lastname: Gawrońska-Szklarz
mesh_terms: D000328:Adult; D015703:Antigens, CD / Q000097:blood; D018106:CD28 Antigens / Q000097:blood*; D015704:CD4 Antigens / Q000097:blood*; D015496:CD4-Positive T-Lymphocytes / Q000276:immunology*; D002908:Chronic Disease; D005260:Female; D006084:Graft Rejection / Q000097:blood / Q000276:immunology*; D006801:Humans; D016030:Kidney Transplantation / Q000276:immunology*; D018655:Lymphocyte Count; D008297:Male; D008875:Middle Aged; D012016:Reference Values; D006435:Renal Dialysis
chemical_list: D015703:Antigens, CD; D018106:CD28 Antigens; D015704:CD4 Antigens