Abstract |
The alpha/beta T cell receptor (TcR) V gene usage of bronchoalveolar lavage (BAL) lymphocytes and peripheral blood lymphocytes (PBL) from 11 sarcoidosis patients and 4 healthy controls was investigated, using eight alpha/beta TcR V gene product-specific monoclonal antibodies (mAb). Twenty-seven percent (3/11) of the sarcoidosis patients had a highly significant increase in V alpha 2.3+CD4+ T lymphocytes in the bronchoalveolar space, while displaying normal frequencies of these T cells in peripheral blood. The reactivities with the remaining seven TcR mAb were normal. In the control group, no compartmentalization of any T cells was seen. Four of the patients expressed the HLA-DR3 (w17), DQw2 haplotype. Interestingly, the three patients with distinct signs of compartmentalized V alpha 2.3+CD4+ T cells all expressed this HLA haplotype. Additionally, a fourth patient with pronounced, although less significant, accumulation of V alpha 2.3+CD4+ T cells in the lung, was also HLA-DR3(w17), DQw2+. Expression of V alpha 2.3+CD4+ T cells in BAL of these patients correlated with clinical disease, as revealed on re-analyzing the four patients after 6 months or longer. Predominant TcR V alpha 2.3 gene usage in compartmentalized CD4+ BAL T lymphocytes, linked to HLA-DR3(w17), DQw2 haplotype, may thus indicate presence of a specific antigen localized to the lungs of sarcoidosis patients.
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Authors | J Grunewald, C H Janson, A Eklund, M Ohrn, O Olerup, U Persson, H Wigzell |
Journal | European journal of immunology
(Eur J Immunol)
Vol. 22
Issue 1
Pg. 129-35
(Jan 1992)
ISSN: 0014-2980 [Print] Germany |
PMID | 1346107
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- HLA-DQ Antigens
- HLA-DQ2 antigen
- HLA-DR3 Antigen
- Receptors, Antigen, T-Cell, alpha-beta
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Topics |
- Adult
- Bronchoalveolar Lavage Fluid
(immunology)
- CD4-Positive T-Lymphocytes
(immunology)
- Gene Expression
- HLA-DQ Antigens
(analysis)
- HLA-DR3 Antigen
(analysis)
- Haplotypes
- Humans
- Middle Aged
- Receptors, Antigen, T-Cell, alpha-beta
(genetics)
- Sarcoidosis
(immunology)
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