title: Severe impairment of regulatory T-cells and Th1-lymphocyte polarization in patients with Gaucher disease.
abstract: We investigated peripheral blood T-lymphocyte subpopulations and intracellular expression of IFN-γ, IL-4, IL-10, and IL-13, by whole blood flow cytometry, in 22 type I Gaucher disease (GD) patients. Results were compared with those of 19 sex- and age-matched controls. Patients with GD exhibited decreased frequencies and absolute numbers of CD3+/CD4+ helper T lymphocytes (40.8 ± 9.8% vs. 49.4 ± 5.7%, p = 0.002, and 0.77 ± 0.33 vs. 1.04 ± 0.28 × 10(9)/μL, p = 0.011), as well as increased frequencies of CD3+CD8+ suppressor T lymphocytes (23.8 ± 8.0% vs. 18.4 ± 3.8%, p = 0.010), resulting in a significantly decreased CD4/CD8 cell ratio (p < 0.001). Moreover, they had significantly increased percentages of IFNγ-producing both CD4+ and CD8+ T cells (p = 0.0003 and p = 0.023, respectively), implying a TH-1 polarization pattern. Finally, patients with GD had decreased percentages and absolute numbers of CD4+CD25(dim) T lymphocytes (p = 0.033 and p = 0.007, respectively), of CD4+CD25(high) T lymphocytes (p = 0.039 and p = 0.016, respectively), and of CD4+CD25(high)FOXP3+ regulatory T cells (p = 0.036 and p = 0.019, respectively). Our results demonstrate that patients with GD have a significant numerical impairment of T-helper lymphocytes and a constitutive TH1 direction pattern of activation of both CD4+ and CD8+ cells, associated with a significant decrease of T-regs. Ineffective T-cell control may explain the chronic inflammatory reaction and the increased incidence of lymphoid malignancies, which have been repeatedly reported among patients with GD.
authors.affiliation: Hematology Division, Department of Internal Medicine, University of Patras Medical School, Rion of Patras, Greece.
authors.forename: Christos
authors.initials: C
authors.lastname: Sotiropoulos
authors.forename: George
authors.initials: G
authors.lastname: Theodorou
authors.forename: Constantina
authors.initials: C
authors.lastname: Repa
authors.forename: Theodoros
authors.initials: T
authors.lastname: Marinakis
authors.forename: Eugenia
authors.initials: E
authors.lastname: Verigou
authors.forename: Elena
authors.initials: E
authors.lastname: Solomou
authors.forename: Marina
authors.initials: M
authors.lastname: Karakantza
authors.forename: Argiris
authors.initials: A
authors.lastname: Symeonidis