Idiopathic CD4 T Cell Lymphocytopenia: A Case of Overexpression of PD-1/PDL-1 and CTLA-4
Idiopathic CD4 T cell lymphocytopenia (ICL) is a rare entity characterized by CD4 T cell count of <300 cells/mm<sup>3</sup> along with opportunistic infection for which T cell marker expression remains to be fully explored. We report an ICL case for which T lymphocyte phenotype and it...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2021-01-01
|
Series: | Infectious Disease Reports |
Subjects: | |
Online Access: | https://www.mdpi.com/2036-7449/13/1/9 |
id |
doaj-10fdef379d0942728adacb5d6817d3b3 |
---|---|
record_format |
Article |
spelling |
doaj-10fdef379d0942728adacb5d6817d3b32021-01-14T00:00:30ZengMDPI AGInfectious Disease Reports2036-74492021-01-01139728110.3390/idr13010009Idiopathic CD4 T Cell Lymphocytopenia: A Case of Overexpression of PD-1/PDL-1 and CTLA-4Gaurav Kumar0Heidy Schmid-Antomarchi1Annie Schmid-Alliana2Michel Ticchioni3Pierre-Marie Roger4Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, 825 NE 13th Street, Oklahoma City, OK 73104, USAUnité 576, Institut National de la Santé et de la Recherche Médicale, Hôpital de l’Archet I, 151 Route de Saint-Antoine, 06200 Nice, FranceUnité 576, Institut National de la Santé et de la Recherche Médicale, Hôpital de l’Archet I, 151 Route de Saint-Antoine, 06200 Nice, FranceUnité 576, Institut National de la Santé et de la Recherche Médicale, Hôpital de l’Archet I, 151 Route de Saint-Antoine, 06200 Nice, FranceUnité 576, Institut National de la Santé et de la Recherche Médicale, Hôpital de l’Archet I, 151 Route de Saint-Antoine, 06200 Nice, FranceIdiopathic CD4 T cell lymphocytopenia (ICL) is a rare entity characterized by CD4 T cell count of <300 cells/mm<sup>3</sup> along with opportunistic infection for which T cell marker expression remains to be fully explored. We report an ICL case for which T lymphocyte phenotype and its costimulatory molecules expression was analyzed both ex vivo and after overnight stimulation through CD3/CD28. The ICL patient was compared to five healthy controls. We observed higher expression of inhibitory molecules PD-1/PDL-1 and CTLA-4 on CD4 T cells and increased regulatory T cells in ICL, along with high activation and low proliferation of CD4 T cells. The alteration in the expression of both the costimulatory pathway and the apoptotic pathway might participate to down-regulate both CD4 T cell functions and numbers observed in ICL.https://www.mdpi.com/2036-7449/13/1/9Idiopathic CD4 T cell lymphocytopeniaT cellco-stimulatory moleculesPD-1PDL-1CTLA-4 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gaurav Kumar Heidy Schmid-Antomarchi Annie Schmid-Alliana Michel Ticchioni Pierre-Marie Roger |
spellingShingle |
Gaurav Kumar Heidy Schmid-Antomarchi Annie Schmid-Alliana Michel Ticchioni Pierre-Marie Roger Idiopathic CD4 T Cell Lymphocytopenia: A Case of Overexpression of PD-1/PDL-1 and CTLA-4 Infectious Disease Reports Idiopathic CD4 T cell lymphocytopenia T cell co-stimulatory molecules PD-1 PDL-1 CTLA-4 |
author_facet |
Gaurav Kumar Heidy Schmid-Antomarchi Annie Schmid-Alliana Michel Ticchioni Pierre-Marie Roger |
author_sort |
Gaurav Kumar |
title |
Idiopathic CD4 T Cell Lymphocytopenia: A Case of Overexpression of PD-1/PDL-1 and CTLA-4 |
title_short |
Idiopathic CD4 T Cell Lymphocytopenia: A Case of Overexpression of PD-1/PDL-1 and CTLA-4 |
title_full |
Idiopathic CD4 T Cell Lymphocytopenia: A Case of Overexpression of PD-1/PDL-1 and CTLA-4 |
title_fullStr |
Idiopathic CD4 T Cell Lymphocytopenia: A Case of Overexpression of PD-1/PDL-1 and CTLA-4 |
title_full_unstemmed |
Idiopathic CD4 T Cell Lymphocytopenia: A Case of Overexpression of PD-1/PDL-1 and CTLA-4 |
title_sort |
idiopathic cd4 t cell lymphocytopenia: a case of overexpression of pd-1/pdl-1 and ctla-4 |
publisher |
MDPI AG |
series |
Infectious Disease Reports |
issn |
2036-7449 |
publishDate |
2021-01-01 |
description |
Idiopathic CD4 T cell lymphocytopenia (ICL) is a rare entity characterized by CD4 T cell count of <300 cells/mm<sup>3</sup> along with opportunistic infection for which T cell marker expression remains to be fully explored. We report an ICL case for which T lymphocyte phenotype and its costimulatory molecules expression was analyzed both ex vivo and after overnight stimulation through CD3/CD28. The ICL patient was compared to five healthy controls. We observed higher expression of inhibitory molecules PD-1/PDL-1 and CTLA-4 on CD4 T cells and increased regulatory T cells in ICL, along with high activation and low proliferation of CD4 T cells. The alteration in the expression of both the costimulatory pathway and the apoptotic pathway might participate to down-regulate both CD4 T cell functions and numbers observed in ICL. |
topic |
Idiopathic CD4 T cell lymphocytopenia T cell co-stimulatory molecules PD-1 PDL-1 CTLA-4 |
url |
https://www.mdpi.com/2036-7449/13/1/9 |
work_keys_str_mv |
AT gauravkumar idiopathiccd4tcelllymphocytopeniaacaseofoverexpressionofpd1pdl1andctla4 AT heidyschmidantomarchi idiopathiccd4tcelllymphocytopeniaacaseofoverexpressionofpd1pdl1andctla4 AT annieschmidalliana idiopathiccd4tcelllymphocytopeniaacaseofoverexpressionofpd1pdl1andctla4 AT michelticchioni idiopathiccd4tcelllymphocytopeniaacaseofoverexpressionofpd1pdl1andctla4 AT pierremarieroger idiopathiccd4tcelllymphocytopeniaacaseofoverexpressionofpd1pdl1andctla4 |
_version_ |
1724338770290933760 |