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2017 ; 8
(ä): 1130
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Mass Cytometry Identifies Distinct Lung CD4(+) T Cell Patterns in Löfgren s
Syndrome and Non-Löfgren s Syndrome Sarcoidosis
#MMPMID28955342
Kaiser Y
; Lakshmikanth T
; Chen Y
; Mikes J
; Eklund A
; Brodin P
; Achour A
; Grunewald J
Front Immunol
2017[]; 8
(ä): 1130
PMID28955342
show ga
Sarcoidosis is a granulomatous disorder of unknown etiology, characterized by
accumulation of activated CD4(+) T cells in the lungs. Disease phenotypes
Löfgren's syndrome (LS) and "non-LS" differ in terms of clinical manifestations,
genetic background, HLA association, and prognosis, but the underlying
inflammatory mechanisms largely remain unknown. Bronchoalveolar lavage fluid
cells from four HLA-DRB1*03(+) LS and four HLA-DRB1*03(-) non-LS patients were
analyzed by mass cytometry, using a panel of 33 unique markers. Differentially
regulated CD4(+) T cell populations were identified using the Citrus algorithm,
and t-stochastic neighborhood embedding was applied for dimensionality reduction
and single-cell data visualization. We identified 19 individual CD4(+) T cell
clusters differing significantly in abundance between LS and non-LS patients.
Seven clusters more frequent in LS patients were characterized by significantly
higher expression of regulatory receptors CTLA-4, PD-1, and ICOS, along with low
expression of adhesion marker CD44. In contrast, 12 clusters primarily found in
non-LS displayed elevated expression of activation and effector markers HLA-DR,
CD127, CD39, as well as CD44. Hierarchical clustering further indicated
functional heterogeneity and diverse origins of T cell receptor
V?2.3/V?22-restricted cells in LS. Finally, a near-complete overlap of CD8 and
Ki-67 expression suggested larger influence of CD8(+) T cell activity on sarcoid
inflammation than previously appreciated. In this study, we provide detailed
characterization of pulmonary T cells and immunological parameters that define
separate disease pathways in LS and non-LS. With direct association to clinical
parameters, such as granuloma persistence, resolution, or chronic inflammation,
these results provide a valuable foundation for further exploration and potential
clinical application.