CCR5Δ32 Genotype Leads to a Th2 Type Directed Immune Response in ESRD Patients
pmid: 22348061
pmc: PMC3278436
CCR5Δ32 Genotype Leads to a Th2 Type Directed Immune Response in ESRD Patients
In patients with end stage renal disease (ESRD) we observed protection from inflammation-associated mortality in CCR5Δ32 carriers, leading to CCR5 deficiency, suggesting impact of CCR5Δ32 on inflammatory processes. Animal studies have shown that CCR5 deficiency is associated with a more pronounced Th2 type immune response, suggesting that in human CCR5Δ32 carriers the immune response may be more Th2 type directed. So, in the present study we determined the Th1-Th2 type directed immune response in ESRD patients carrying and not carrying the CCR5Δ32 genetic variant after stimulation.We tested this hypothesis by determining the levels of IFN-γ and IL-4 and the distribution of Th1, Th2 and Th17 directed circulating CD4+ and CD8+ T cells and regulatory T cells (Tregs) after stimulation in ESRD patients with (n = 10) and without (n = 9) the CCR5Δ32 genotype. The extracellular levels of IFN-γ and IL-4 did not differ between CCR5Δ32 carriers and non carriers. However, based on their intracellular cytokine profile the percentages IL-4 secreting CD4+ and CD8+ T cells carrying the CCR5Δ32 genotype were significantly increased (p = 0.02, respectively p = 0.02) compared to non carriers, indicating a more Th2 type directed response. Based on their intracellular cytokine profile the percentages IFN-γ and IL-17 secreting T cells did not differ between carriers and non-carriers nor did the percentage Tregs, indicating that the Th1, Th17 and T regulatory response was not affected by the CCR5Δ32 genotype.This first, functional human study shows a more pronounced Th2 type immune response in CCR5Δ32 carriers compared to non carriers. These differences may be involved in the previously observed protection from inflammation-associated mortality in ESRD patients carrying CCR5Δ32.
- University Medical Center Groningen Netherlands
- University Medical Center Groningen Netherlands
- University of Groningen Netherlands
Adult, CD4-Positive T-Lymphocytes, Male, Genotype, Receptors, CCR5, Science, CD8-Positive T-Lymphocytes, CD8-Positive T-Lymphocytes/immunology, Th2 Cells/immunology, Interleukin-4/blood, CCR5/deficiency, Kidney Failure, Chronic/genetics, Th2 Cells, Inflammation/genetics, Receptors, Humans, Genetic Variation/immunology, Aged, Inflammation, Q, R, Genetic Variation, Middle Aged, CD4-Positive T-Lymphocytes/immunology, Medicine, Cytokines, Kidney Failure, Chronic, Female, Interleukin-4, Research Article
Adult, CD4-Positive T-Lymphocytes, Male, Genotype, Receptors, CCR5, Science, CD8-Positive T-Lymphocytes, CD8-Positive T-Lymphocytes/immunology, Th2 Cells/immunology, Interleukin-4/blood, CCR5/deficiency, Kidney Failure, Chronic/genetics, Th2 Cells, Inflammation/genetics, Receptors, Humans, Genetic Variation/immunology, Aged, Inflammation, Q, R, Genetic Variation, Middle Aged, CD4-Positive T-Lymphocytes/immunology, Medicine, Cytokines, Kidney Failure, Chronic, Female, Interleukin-4, Research Article
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