title: Bronchoalveolar immunologic profile of acute human lung transplant allograft rejection.
abstract: Bronchoalveolar lavage fluid (BALF) offers a potential means to diagnose acute rejection and could provide insight into the immune mechanisms responsible for lung allograft rejection. Transbronchial biopsies from 29 bronchoscopic procedures were assessed for rejection. Concurrent BALF lymphocyte subsets were examined by flow cytometry, including CD4 and CD8 T cells and their activation status by CD38 expression, natural killer (NK), NK-like T (NT), B, regulatory T, and invariant receptor NK-T cells. Percentages of CD4 were reduced, and CD8 and activation of CD4 T cells correlated with rejection. There were trends for increased NT, reduced NK, and increased B cell percentages with rejection, suggesting potential roles of these cells. Among regulatory cells, the percentages of regulatory T cells decreased and CD4/CD8 invariant NK-T cells increased during rejection, suggesting a proinflammatory profile. A unique BALF lymphocyte profile was associated with rejection and may provide insight into the pathogenesis of allograft rejection.
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University of California, Los Angeles, CA 90095, USA. agregson@mednet.ucla.edu
authors.forename: Aric L
authors.initials: AL
authors.lastname: Gregson
authors.forename: Aki
authors.initials: A
authors.lastname: Hoji
authors.forename: Rajan
authors.initials: R
authors.lastname: Saggar
authors.forename: David J
authors.initials: DJ
authors.lastname: Ross
authors.forename: Bernard M
authors.initials: BM
authors.lastname: Kubak
authors.forename: Beth D
authors.initials: BD
authors.lastname: Jamieson
authors.forename: S Samuel
authors.initials: SS
authors.lastname: Weigt
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Lynch
authors.forename: Abbas
authors.initials: A
authors.lastname: Ardehali
authors.forename: John A
authors.initials: JA
authors.lastname: Belperio
authors.forename: Otto O
authors.initials: OO
authors.lastname: Yang
mesh_terms: D000208:Acute Disease; D015703:Antigens, CD / Q000032:analysis; D016175:B-Lymphocyte Subsets / Q000276:immunology; D001402:B-Lymphocytes / Q000276:immunology; D001992:Bronchoalveolar Lavage Fluid / Q000276:immunology*; D015496:CD4-Positive T-Lymphocytes / Q000276:immunology; D018414:CD8-Positive T-Lymphocytes / Q000276:immunology; D005434:Flow Cytometry; D006084:Graft Rejection / Q000175:diagnosis* / Q000276:immunology; D006801:Humans; D016040:Lung Transplantation / Q000276:immunology* / Q000473:pathology*; D011237:Predictive Value of Tests; D016176:T-Lymphocyte Subsets / Q000276:immunology; D013601:T-Lymphocytes / Q000276:immunology
chemical_list: D015703:Antigens, CD