Regulatory T cell frequencies are increased in preterm infants with clinical early-onset sepsis
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Regulatory T cell frequencies are increased in preterm infants with clinical early-onset sepsis. / Pagel, J; Hartz, A; Figge, J; Gille, C; Eschweiler, S; Petersen, K; Schreiter, L; Hammer, J; Karsten, C M; Friedrich, D; Herting, E; Göpel, W; Rupp, J; Härtel, C.
In: CLIN EXP IMMUNOL, Vol. 185, No. 2, 08.2016, p. 219-27.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Regulatory T cell frequencies are increased in preterm infants with clinical early-onset sepsis
AU - Pagel, J
AU - Hartz, A
AU - Figge, J
AU - Gille, C
AU - Eschweiler, S
AU - Petersen, K
AU - Schreiter, L
AU - Hammer, J
AU - Karsten, C M
AU - Friedrich, D
AU - Herting, E
AU - Göpel, W
AU - Rupp, J
AU - Härtel, C
N1 - © 2016 British Society for Immunology.
PY - 2016/8
Y1 - 2016/8
N2 - The predisposition of preterm neonates to invasive infection is, as yet, incompletely understood. Regulatory T cells (Tregs ) are potential candidates for the ontogenetic control of immune activation and tissue damage in preterm infants. It was the aim of our study to characterize lymphocyte subsets and in particular CD4(+) CD25(+) forkhead box protein 3 (FoxP3)(+) Tregs in peripheral blood of well-phenotyped preterm infants (n = 117; 23 + 0 - 36 + 6 weeks of gestational age) in the first 3 days of life in comparison to term infants and adults. We demonstrated a negative correlation of Treg frequencies and gestational age. Tregs were increased in blood samples of preterm infants compared to term infants and adults. Notably, we found an increased Treg frequency in preterm infants with clinical early-onset sepsis while cause of preterm delivery, e.g. chorioamnionitis, did not affect Treg frequencies. Our data suggest that Tregs apparently play an important role in maintaining maternal-fetal tolerance, which turns into an increased sepsis risk after preterm delivery. Functional analyses are needed in order to elucidate whether Tregs have potential as future target for diagnostics and therapeutics.
AB - The predisposition of preterm neonates to invasive infection is, as yet, incompletely understood. Regulatory T cells (Tregs ) are potential candidates for the ontogenetic control of immune activation and tissue damage in preterm infants. It was the aim of our study to characterize lymphocyte subsets and in particular CD4(+) CD25(+) forkhead box protein 3 (FoxP3)(+) Tregs in peripheral blood of well-phenotyped preterm infants (n = 117; 23 + 0 - 36 + 6 weeks of gestational age) in the first 3 days of life in comparison to term infants and adults. We demonstrated a negative correlation of Treg frequencies and gestational age. Tregs were increased in blood samples of preterm infants compared to term infants and adults. Notably, we found an increased Treg frequency in preterm infants with clinical early-onset sepsis while cause of preterm delivery, e.g. chorioamnionitis, did not affect Treg frequencies. Our data suggest that Tregs apparently play an important role in maintaining maternal-fetal tolerance, which turns into an increased sepsis risk after preterm delivery. Functional analyses are needed in order to elucidate whether Tregs have potential as future target for diagnostics and therapeutics.
KW - Adult
KW - Amnion/microbiology
KW - Chorioamnionitis/immunology
KW - Female
KW - Forkhead Transcription Factors/blood
KW - Gestational Age
KW - Humans
KW - Immune Tolerance
KW - Infant
KW - Infant, Newborn
KW - Infant, Premature/immunology
KW - Infant, Premature, Diseases/immunology
KW - Lymphocyte Subsets/cytology
KW - Pregnancy
KW - Sepsis/immunology
KW - T-Lymphocytes, Regulatory/immunology
U2 - 10.1111/cei.12810
DO - 10.1111/cei.12810
M3 - SCORING: Journal article
C2 - 27163159
VL - 185
SP - 219
EP - 227
JO - CLIN EXP IMMUNOL
JF - CLIN EXP IMMUNOL
SN - 0009-9104
IS - 2
ER -