A potential role for B cells in suppressed immune responses in cord blood transplant recipients.
A potential role for B cells in suppressed immune responses in cord blood transplant recipients.
复制标题
B细胞在绳索血液移植受体中抑制免疫反应中的潜在作用。
DOI:
10.1038/bmt.2012.104
复制
发表时间:
2013-01
影响因子:
4.8
通讯作者:
Stiff PJ
中科院分区:
文献类型:
--
作者:
Beaudette-Zlatanova BC;Le PT;Knight KL;Zhang S;Zakrzewski S;Parthasarathy M;Stiff PJ
We evaluated immune reconstitution in 58 adults who received hematopoietic stem cell transplants from allogeneic siblings (allosib), matched unrelated donors (MUD), or cord blood (CB) at 90-day intervals for one year post-transplant. CB recipients had a higher incidence of infections in the first 100 days compared to allosib and MUD recipients. The number of circulating T cells was lower in CB recipients compared to MUD recipients at 90 days and compared to allosib recipients at 180 days. Spectratype analysis of the TCR Vβ complementarity determining region 3 (CDR3) of patient lymphocytes revealed that the TCR repertoire remained poorly diversified even at 360 days in nearly all patients. In contrast, the number of circulating B cells was significantly elevated in CB recipients compared to allosib recipients throughout the first year post-transplant and compared to MUD recipients at 9-12 months. Spectratype analysis of the B cell receptor VH CDR3 showed that the B cell repertoire was diversified in most patients by 90 days. CD5pos B cells from assayed CB recipients expressed intracellular IL-10 early post-transplant. Our data suggest that B cells, in addition to T cells, may play a role in impaired immune responses in CB transplant patients.
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