Acute Versus Chronic Administration of Calcineurin-Inhibitors Differentially Affect T-Cell Function
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Acute Versus Chronic Administration of Calcineurin-Inhibitors Differentially Affect T-Cell Function. / Kirchhof, Julia; Wilde, Benjamin; Schmidt, Justine; Mülling, Nils; Petrakova, Liubov; Brinkhoff, Alexandra; Schedlowski, Manfred; Witzke, Oliver.
In: ENDOCR METAB IMMUNE, Vol. 21, No. 6, 2021, p. 1083-1089.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Acute Versus Chronic Administration of Calcineurin-Inhibitors Differentially Affect T-Cell Function
AU - Kirchhof, Julia
AU - Wilde, Benjamin
AU - Schmidt, Justine
AU - Mülling, Nils
AU - Petrakova, Liubov
AU - Brinkhoff, Alexandra
AU - Schedlowski, Manfred
AU - Witzke, Oliver
N1 - Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.
PY - 2021
Y1 - 2021
N2 - BACKGROUND: Calcineurin-inhibitors (CNI) are used in renal transplant patients (RTX) to prevent rejection. CNI mainly suppress T-cell mediated immunity but very little is known about the impact of long-term treatment with CNI on T-cell function.OBJECTIVE: We investigated the immunological effects of long-term CNI intake in RTX patients in comparison to short-term CNI administration in healthy controls (HC).METHODS: Blood was drawn from 30 RTX patients with long-term CNI treatment. In addition, blood was sampled from HC with short-term CNI treatment (four dosages) before the first and 2 hours after the last CsA intake. T-cells were analyzed for cytokine production, proliferation, and CD25 expression.RESULTS: Short-term CNI reduced T-cell derived IL-2 and IFNγ as well as T-cell proliferation in HC. IFNγ was not suppressed in patients with long-term CNI treatment. IL-2 production, CD25 expression, and T-cell proliferation were enhanced in long-term CNI patients.CONCLUSION: Suppression of IFNγ/IL-2 and T-cell proliferation is weaker during long-term CNI treatment in patients compared to short-term treatment in healthy subjects. Enhanced CD25 expression may lower the threshold for T-cell activation during long-term CNI treatment.
AB - BACKGROUND: Calcineurin-inhibitors (CNI) are used in renal transplant patients (RTX) to prevent rejection. CNI mainly suppress T-cell mediated immunity but very little is known about the impact of long-term treatment with CNI on T-cell function.OBJECTIVE: We investigated the immunological effects of long-term CNI intake in RTX patients in comparison to short-term CNI administration in healthy controls (HC).METHODS: Blood was drawn from 30 RTX patients with long-term CNI treatment. In addition, blood was sampled from HC with short-term CNI treatment (four dosages) before the first and 2 hours after the last CsA intake. T-cells were analyzed for cytokine production, proliferation, and CD25 expression.RESULTS: Short-term CNI reduced T-cell derived IL-2 and IFNγ as well as T-cell proliferation in HC. IFNγ was not suppressed in patients with long-term CNI treatment. IL-2 production, CD25 expression, and T-cell proliferation were enhanced in long-term CNI patients.CONCLUSION: Suppression of IFNγ/IL-2 and T-cell proliferation is weaker during long-term CNI treatment in patients compared to short-term treatment in healthy subjects. Enhanced CD25 expression may lower the threshold for T-cell activation during long-term CNI treatment.
KW - Adult
KW - Aged
KW - Calcineurin Inhibitors/administration & dosage
KW - Cell Proliferation/drug effects
KW - Drug Administration Schedule
KW - Female
KW - Flow Cytometry/methods
KW - Graft Rejection/immunology
KW - Humans
KW - Immunosuppressive Agents/administration & dosage
KW - Inflammation Mediators/antagonists & inhibitors
KW - Kidney Transplantation/trends
KW - Male
KW - Middle Aged
KW - T-Lymphocytes/drug effects
U2 - 10.2174/1871530320999200831161710
DO - 10.2174/1871530320999200831161710
M3 - SCORING: Journal article
C2 - 32867664
VL - 21
SP - 1083
EP - 1089
JO - ENDOCR METAB IMMUNE
JF - ENDOCR METAB IMMUNE
SN - 1871-5303
IS - 6
ER -