Article ; Online: Immunological differences between heart- and kidney-transplanted children: a cross-sectional study.
2022 Volume 33, Issue 5, Page(s) 787–792
Abstract: Post-transplantation lymphoproliferative disorder is a potentially mortal complication after heart transplantation in children. As the immune system plays a crucial role in the development of lymphoma, we explored the influence of thymus function in ... ...
Abstract | Post-transplantation lymphoproliferative disorder is a potentially mortal complication after heart transplantation in children. As the immune system plays a crucial role in the development of lymphoma, we explored the influence of thymus function in relation to immunosuppressive treatment in organ-transplanted children and healthy control subjects. A prospective case-control study was performed at a single centre, in which 36 children who had undergone heart transplantation were compared to two control groups: 34 kidney-transplanted children and 33 healthy age- and sex-matched children. T- and B-lymphocyte subtypes and monocytes were analysed by flow cytometry, and T-cell receptor excision circles were assessed using quantitative polymerase chain reaction. Heart-transplanted children had a lymphocyte profile characterised by reduced or absent thymic function with low numbers of T-cell receptor excision circles and total and naïve T cells, together with immune activation against the allograft. Despite similar immunosuppressive treatment, the kidney-transplanted group showed an activated T-lymphocyte compartment. |
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MeSH term(s) | Humans ; Child ; Cross-Sectional Studies ; Case-Control Studies ; T-Lymphocytes ; Immunosuppressive Agents ; Receptors, Antigen, T-Cell ; Kidney |
Chemical Substances | Immunosuppressive Agents ; Receptors, Antigen, T-Cell |
Language | English |
Publishing date | 2022-06-24 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 1078466-4 |
ISSN | 1467-1107 ; 1047-9511 |
ISSN (online) | 1467-1107 |
ISSN | 1047-9511 |
DOI | 10.1017/S1047951122001743 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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