Differential effects of age, cytomegalovirus-seropositivity and end-stage renal disease (ESRD) on circulating T lymphocyte subsets
2011-01-08
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The age- and cytomegalovirus (CMV)-seropositivity-related changes in subsets and differentiation of circulating T cells were investigated in end-stage renal disease (ESRD) patients (n = 139) and age-matched healthy individuals. The results show that CMV-seropositivity is associated with expansion of both CD4+and CD8+memory T cells which is already observed in young healthy individuals. In addition, CMV-seropositive healthy individuals have a more differentiated memory T cell profile. Only CMV-seropositive healthy individuals showed an age-dependent decrease in CD4+näve T cells. The age-related decrease in the number of CD8+näve T cells was CMV-independent. In contrast, all ESRD patients showed a profound näve T-cell lymphopenia at every decade. CMV-seropositivity aggravated the contraction of CD4+näve T cells and increased the number of differentiated CD4+and CD8+memory T cells. In conclusion, CMV-seropositivity markedly alters the homeostasis of circulating T cells in healthy individuals and aggravates the T cell dysregulation observed in ESRD patients.
- adult
- article
- female
- human
- male
- aged
- major clinical study
- priority journal
- controlled study
- T lymphocyte
- cell differentiation
- aging
- kidney disease
- CD4+ T lymphocyte
- CD8+ T lymphocyte
- memory T lymphocyte
- lymphocytopenia
- Cytomegalovirus
- homeostasis
- cytomegalovirus infection
- esrd patients
- patient
- 0.01
- number
- memory
- lymphocytes
- 0.02
- t cells
- subset
- individual
- cd 4+
- t lymphocytes
- 0.03
- cmv-seropositivity
- tnaive
- <0.01
- effect
- t lymphocyte subsets
- study
- ageing