CD4-regulatory cells in COPD patients

Smyth, LJC, Starkey, C, Vestbo, J and Singh, D 2007, 'CD4-regulatory cells in COPD patients' , Chest, 132 (1) , pp. 156-163.

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Background: The numbers of airway CD8 and B lymphocytes are increased in COPD patients, suggesting an autoimmune process. CD4-regulatory T cells control autoimmunity but have not been studied in patients with COPD. Objective: To compare T-regulatory cell numbers in the BAL from COPD patients, smokers with normal lung function, and healthy nonsmokers (HNS). Methods: BAL and peripheral blood mononuclear cell (PBMC) samples were obtained from 26 COPD patients, 19 smokers, and 8 HNS. Flow cytometry was performed for regulatory phenotypic markers. Results: COPD patients had increased BAL CD8 numbers compared to smokers and HNS. CD4 numbers were similar between groups. There was increased BAL CD4CD25(bright) expression in smokers (median 28.8%) and COPD patients (median 23.1%) compared to HNS (median 0%). Increased FoxP3 expression was confirmed in BAL CD4CD25(bright) cells. BAL CD4CD25 cells expressed less CD27 compared to PBMCs, suggesting weaker functional regulatory ability. Clinical implications: Chronic cigarette smoke exposure up-regulates airway CD4 regulatory cell numbers. Their function may be to control pulmonary inflammation.

Item Type: Article
Themes: Subjects / Themes > Q Science > QR Microbiology
Subjects outside of the University Themes
Schools: Schools > School of Environment and Life Sciences
Journal or Publication Title: Chest
Publisher: American College of Chest Physicians
Refereed: Yes
ISSN: 0012-3692
Depositing User: Users 29196 not found.
Date Deposited: 23 Dec 2010 14:08
Last Modified: 27 Aug 2021 22:33

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