Skip to main content
Erschienen in: Journal of Clinical Immunology 3/2020

28.01.2020 | Original Article

A Prevalent CXCR3+ Phenotype of Circulating Follicular Helper T Cells Indicates Humoral Dysregulation in Children with Down Syndrome

verfasst von: Giorgio Ottaviano, Jolanda Gerosa, Micaela Santini, Pasqualina De Leo, Andrea Vecchione, Tatiana Jofra, Cristiana Trimarchi, Maurizio De Pellegrin, Massimo Agosti, Alessandro Aiuti, Maddalena Marinoni, Maria Pia Cicalese, Georgia Fousteri

Erschienen in: Journal of Clinical Immunology | Ausgabe 3/2020

Einloggen, um Zugang zu erhalten

Abstract

Patients with Down syndrome (DS) are characterized by increased susceptibility to autoimmunity and respiratory tract infections that are suggestive of humoral immunity impairment. Here, we sought to determine the follicular helper (Tfh) and follicular regulatory (Tfr) T cell profile in the blood of children with DS. Blood was collected from 24 children with DS, nine of which had autoimmune diseases. Children with DS showed skewed Tfh differentiation towards the CXCR3+ phenotype: Tfh1 and Tfh1/17 subsets were increased, while Tfh2 and Tfh17 subsets were reduced. While no differences in the percentage of Tfr cells were seen, the ratio of Tfh1 and CXCR3+PD-1+ subsets to Tfr cells was significantly increased in the affected children. The excessive polarization towards a CXCR3+ phenotype in children with DS suggests that re-calibration of Tfh subset skewing could potentially offer new therapeutic opportunities for these patients.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Kusters MAA, Verstegen RHJ, Gemen EFA, de Vries E. Intrinsic defect of the immune system in children with Down syndrome: a review. Clin Exp Immunol. 2009;156:189–93.PubMedPubMedCentralCrossRef Kusters MAA, Verstegen RHJ, Gemen EFA, de Vries E. Intrinsic defect of the immune system in children with Down syndrome: a review. Clin Exp Immunol. 2009;156:189–93.PubMedPubMedCentralCrossRef
2.
Zurück zum Zitat Kusters MA, Verstegen RH, de Vries E. Down syndrome: is it really characterized by precocious immunosenescence? Aging Dis. 2011;2:538–45.PubMedPubMedCentral Kusters MA, Verstegen RH, de Vries E. Down syndrome: is it really characterized by precocious immunosenescence? Aging Dis. 2011;2:538–45.PubMedPubMedCentral
3.
Zurück zum Zitat Kusters MAA, Gemen EFA, Verstegen RHJ, Wever PC, de Vries E. Both normal memory counts and decreased naive cells favor intrinsic defect over early senescence of Down syndrome T lymphocytes. Pediatr Res. 2010;67:557–62.PubMedCrossRef Kusters MAA, Gemen EFA, Verstegen RHJ, Wever PC, de Vries E. Both normal memory counts and decreased naive cells favor intrinsic defect over early senescence of Down syndrome T lymphocytes. Pediatr Res. 2010;67:557–62.PubMedCrossRef
4.
Zurück zum Zitat Bloemers BLP, van Furth AM, Weijerman ME, Gemke RJBJ, Broers CJM, van den Ende K, et al. Down syndrome: a novel risk factor for respiratory syncytial virus bronchiolitis a prospective birth-cohort study. PEDIATRICS. 2007;120:e1076–81.PubMedCrossRef Bloemers BLP, van Furth AM, Weijerman ME, Gemke RJBJ, Broers CJM, van den Ende K, et al. Down syndrome: a novel risk factor for respiratory syncytial virus bronchiolitis a prospective birth-cohort study. PEDIATRICS. 2007;120:e1076–81.PubMedCrossRef
5.
Zurück zum Zitat Pierce MJ, LaFranchi SH, Pinter JD. Characterization of thyroid abnormalities in a large cohort of children with Down syndrome. Horm Res Paediatr. 2017;87:170–8.PubMedCrossRef Pierce MJ, LaFranchi SH, Pinter JD. Characterization of thyroid abnormalities in a large cohort of children with Down syndrome. Horm Res Paediatr. 2017;87:170–8.PubMedCrossRef
6.
Zurück zum Zitat Mårild K, Stephansson O, Grahnquist L, Cnattingius S, Söderman G, Ludvigsson JF. Down syndrome is associated with elevated risk of celiac disease: a nationwide case-control study. J Pediatr. 2013;163:237–42.PubMedCrossRef Mårild K, Stephansson O, Grahnquist L, Cnattingius S, Söderman G, Ludvigsson JF. Down syndrome is associated with elevated risk of celiac disease: a nationwide case-control study. J Pediatr. 2013;163:237–42.PubMedCrossRef
7.
Zurück zum Zitat de Hingh YCM, van der Vossen PW, Gemen EFA, Mulder AB, Hop WCJ, Brus F, et al. Intrinsic abnormalities of lymphocyte counts in children with Down syndrome. J Pediatr. 2005;147:744–7.PubMedCrossRef de Hingh YCM, van der Vossen PW, Gemen EFA, Mulder AB, Hop WCJ, Brus F, et al. Intrinsic abnormalities of lymphocyte counts in children with Down syndrome. J Pediatr. 2005;147:744–7.PubMedCrossRef
8.
Zurück zum Zitat Schoch J, Rohrer TR, Kaestner M, Abdul-Khaliq H, Sester U, Sester M, et al. Quantitative, phenotypical and functional characterization of cellular immunity in pediatric individuals with Down syndrome. J Infect Dis. 2017;215:1619–38.PubMedCrossRef Schoch J, Rohrer TR, Kaestner M, Abdul-Khaliq H, Sester U, Sester M, et al. Quantitative, phenotypical and functional characterization of cellular immunity in pediatric individuals with Down syndrome. J Infect Dis. 2017;215:1619–38.PubMedCrossRef
9.
10.
Zurück zum Zitat Verstegen RHJ, Kusters MAA, Gemen EFA, De Vries E. Down syndrome B-lymphocyte subpopulations, intrinsic defect or decreased T-lymphocyte help. Pediatr Res. 2010;67:563–9.PubMedCrossRef Verstegen RHJ, Kusters MAA, Gemen EFA, De Vries E. Down syndrome B-lymphocyte subpopulations, intrinsic defect or decreased T-lymphocyte help. Pediatr Res. 2010;67:563–9.PubMedCrossRef
11.
Zurück zum Zitat Carsetti R, Valentini D, Marcellini V, Scarsella M, Marasco E, Giustini F, et al. Reduced numbers of switched memory B cells with high terminal differentiation potential in Down syndrome: clinical immunology. Eur J Immunol. 2015;45:903–14.PubMedCrossRef Carsetti R, Valentini D, Marcellini V, Scarsella M, Marasco E, Giustini F, et al. Reduced numbers of switched memory B cells with high terminal differentiation potential in Down syndrome: clinical immunology. Eur J Immunol. 2015;45:903–14.PubMedCrossRef
12.
Zurück zum Zitat Valentini D, Marcellini V, Bianchi S, Villani A, Facchini M, Donatelli I, et al. Generation of switched memory B cells in response to vaccination in Down syndrome children and their siblings. Vaccine. 2015;33:6689–96.PubMedCrossRef Valentini D, Marcellini V, Bianchi S, Villani A, Facchini M, Donatelli I, et al. Generation of switched memory B cells in response to vaccination in Down syndrome children and their siblings. Vaccine. 2015;33:6689–96.PubMedCrossRef
13.
Zurück zum Zitat Breitfeld D, Ohl L, Kremmer E, Ellwart J, Sallusto F, Lipp M, et al. Follicular B helper T cells express cxc chemokine receptor 5, localize to B cell follicles, and support immunoglobulin production. J Exp Med. 2000;192:1545–52.PubMedPubMedCentralCrossRef Breitfeld D, Ohl L, Kremmer E, Ellwart J, Sallusto F, Lipp M, et al. Follicular B helper T cells express cxc chemokine receptor 5, localize to B cell follicles, and support immunoglobulin production. J Exp Med. 2000;192:1545–52.PubMedPubMedCentralCrossRef
15.
16.
Zurück zum Zitat Kim CH, Rott LS, Clark-Lewis I, Campbell DJ, Wu L, Butcher EC. Subspecialization of CXCR5+ T cells: B helper activity is focused in a germinal center–localized subset of CXCR5+ T cells. J Exp Med. 2001;193:1373–81.PubMedPubMedCentralCrossRef Kim CH, Rott LS, Clark-Lewis I, Campbell DJ, Wu L, Butcher EC. Subspecialization of CXCR5+ T cells: B helper activity is focused in a germinal center–localized subset of CXCR5+ T cells. J Exp Med. 2001;193:1373–81.PubMedPubMedCentralCrossRef
17.
Zurück zum Zitat Ansel KM, McHeyzer-Williams LJ, Ngo VN, McHeyzer-Williams MG, Cyster JG. In vivo–activated Cd4 T cells upregulate cxc chemokine receptor 5 and reprogram their response to lymphoid chemokines. J Exp Med. 1999;190:1123–34.PubMedPubMedCentralCrossRef Ansel KM, McHeyzer-Williams LJ, Ngo VN, McHeyzer-Williams MG, Cyster JG. In vivo–activated Cd4 T cells upregulate cxc chemokine receptor 5 and reprogram their response to lymphoid chemokines. J Exp Med. 1999;190:1123–34.PubMedPubMedCentralCrossRef
18.
Zurück zum Zitat Morita R, Schmitt N, Bentebibel S-E, Ranganathan R, Bourdery L, Zurawski G, et al. Human blood CXCR5+CD4+ T cells are counterparts of T follicular cells and contain specific subsets that differentially support antibody secretion. Immunity. 2011;34:108–21.PubMedPubMedCentralCrossRef Morita R, Schmitt N, Bentebibel S-E, Ranganathan R, Bourdery L, Zurawski G, et al. Human blood CXCR5+CD4+ T cells are counterparts of T follicular cells and contain specific subsets that differentially support antibody secretion. Immunity. 2011;34:108–21.PubMedPubMedCentralCrossRef
20.
Zurück zum Zitat Locci M, Havenar-Daughton C, Landais E, Wu J, Kroenke MA, Arlehamn CL, et al. Human circulating PD-1+CXCR3−CXCR5+ memory Tfh cells are highly functional and correlate with broadly neutralizing HIV antibody responses. Immunity. 2013;39:758–69.PubMedPubMedCentralCrossRef Locci M, Havenar-Daughton C, Landais E, Wu J, Kroenke MA, Arlehamn CL, et al. Human circulating PD-1+CXCR3−CXCR5+ memory Tfh cells are highly functional and correlate with broadly neutralizing HIV antibody responses. Immunity. 2013;39:758–69.PubMedPubMedCentralCrossRef
21.
Zurück zum Zitat Bentebibel S-E, Lopez S, Obermoser G, Schmitt N, Mueller C, Harrod C, et al. Induction of ICOS+CXCR3+CXCR5+ TH cells correlates with antibody responses to influenza vaccination. Sci Transl Med. 2013;5:176ra32.PubMedPubMedCentralCrossRef Bentebibel S-E, Lopez S, Obermoser G, Schmitt N, Mueller C, Harrod C, et al. Induction of ICOS+CXCR3+CXCR5+ TH cells correlates with antibody responses to influenza vaccination. Sci Transl Med. 2013;5:176ra32.PubMedPubMedCentralCrossRef
22.
Zurück zum Zitat Obeng-Adjei N, Portugal S, Tran TM, Yazew TB, Skinner J, Li S, et al. Circulating Th1-cell-type Tfh cells that exhibit impaired B cell help are preferentially activated during acute malaria in children. Cell Rep. 2015;13:425–39.PubMedPubMedCentralCrossRef Obeng-Adjei N, Portugal S, Tran TM, Yazew TB, Skinner J, Li S, et al. Circulating Th1-cell-type Tfh cells that exhibit impaired B cell help are preferentially activated during acute malaria in children. Cell Rep. 2015;13:425–39.PubMedPubMedCentralCrossRef
23.
Zurück zum Zitat Bowyer G, Grobbelaar A, Rampling T, Venkatraman N, Morelle D, Ballou RW, et al. CXCR3+ T follicular helper cells induced by co-administration of RTS,S/AS01B and viral-vectored vaccines are associated with reduced immunogenicity and efficacy against malaria. Front Immunol. 2018;9:1660.PubMedPubMedCentralCrossRef Bowyer G, Grobbelaar A, Rampling T, Venkatraman N, Morelle D, Ballou RW, et al. CXCR3+ T follicular helper cells induced by co-administration of RTS,S/AS01B and viral-vectored vaccines are associated with reduced immunogenicity and efficacy against malaria. Front Immunol. 2018;9:1660.PubMedPubMedCentralCrossRef
24.
26.
Zurück zum Zitat Le Coz C, Joublin A, Pasquali J-L, Korganow A-S, Dumortier H, Monneaux F. Circulating TFH Subset distribution is strongly affected in lupus patients with an active disease. Bayry J, editor. PLoS ONE. 2013;8:e75319. Le Coz C, Joublin A, Pasquali J-L, Korganow A-S, Dumortier H, Monneaux F. Circulating TFH Subset distribution is strongly affected in lupus patients with an active disease. Bayry J, editor. PLoS ONE. 2013;8:e75319.
27.
Zurück zum Zitat Li X, Wu Z, Ding J, Zheng Z, Li X, Chen L, et al. Role of the frequency of blood CD4+ CXCR5+ CCR6+ T cells in autoimmunity in patients with Sjögren’s syndrome. Biochem Biophys Res Commun. 2012;422:238–44.PubMedCrossRef Li X, Wu Z, Ding J, Zheng Z, Li X, Chen L, et al. Role of the frequency of blood CD4+ CXCR5+ CCR6+ T cells in autoimmunity in patients with Sjögren’s syndrome. Biochem Biophys Res Commun. 2012;422:238–44.PubMedCrossRef
28.
Zurück zum Zitat Unger S, Seidl M, van Schouwenburg P, Rakhmanov M, Bulashevska A, Frede N, et al. The T H 1 phenotype of follicular helper T cells indicates an IFN-γ–associated immune dysregulation in patients with CD21low common variable immunodeficiency. J Allergy Clin Immunol. 2018;141:730–40.PubMedCrossRef Unger S, Seidl M, van Schouwenburg P, Rakhmanov M, Bulashevska A, Frede N, et al. The T H 1 phenotype of follicular helper T cells indicates an IFN-γ–associated immune dysregulation in patients with CD21low common variable immunodeficiency. J Allergy Clin Immunol. 2018;141:730–40.PubMedCrossRef
29.
Zurück zum Zitat Ma CS, Wong N, Rao G, Avery DT, Torpy J, Hambridge T, et al. Monogenic mutations differentially affect the quantity and quality of T follicular helper cells in patients with human primary immunodeficiencies. J Allergy Clin Immunol. 2015;136:993–1006 e1.PubMedPubMedCentralCrossRef Ma CS, Wong N, Rao G, Avery DT, Torpy J, Hambridge T, et al. Monogenic mutations differentially affect the quantity and quality of T follicular helper cells in patients with human primary immunodeficiencies. J Allergy Clin Immunol. 2015;136:993–1006 e1.PubMedPubMedCentralCrossRef
30.
Zurück zum Zitat Gerosa J, Lougaris V, Baronio M, Plebani A, Cicalese MP, Fousteri G. Beta2 integrins are required for follicular helper T cell differentiation in humans. Clin Immunol. 2017;180:60–2.PubMedCrossRef Gerosa J, Lougaris V, Baronio M, Plebani A, Cicalese MP, Fousteri G. Beta2 integrins are required for follicular helper T cell differentiation in humans. Clin Immunol. 2017;180:60–2.PubMedCrossRef
31.
Zurück zum Zitat Cicalese MP, Gerosa J, Baronio M, Montin D, Licciardi F, Soresina A, et al. Circulating follicular helper and follicular regulatory T cells are severely compromised in human CD40 deficiency: a case report. Front Immunol. 2018;9:1761.PubMedPubMedCentralCrossRef Cicalese MP, Gerosa J, Baronio M, Montin D, Licciardi F, Soresina A, et al. Circulating follicular helper and follicular regulatory T cells are severely compromised in human CD40 deficiency: a case report. Front Immunol. 2018;9:1761.PubMedPubMedCentralCrossRef
32.
Zurück zum Zitat Linterman MA, Hill DL. Can follicular helper T cells be targeted to improve vaccine efficacy? F1000Research. 2016;5:88.CrossRef Linterman MA, Hill DL. Can follicular helper T cells be targeted to improve vaccine efficacy? F1000Research. 2016;5:88.CrossRef
33.
Zurück zum Zitat Farroni C, Marasco E, Marcellini V, Giorda E, Valentini D, Petrini S, et al. Dysregulated miR-155 and miR-125b are related to impaired B-cell responses in Down syndrome. Front Immunol. 2018;9:2683.PubMedPubMedCentralCrossRef Farroni C, Marasco E, Marcellini V, Giorda E, Valentini D, Petrini S, et al. Dysregulated miR-155 and miR-125b are related to impaired B-cell responses in Down syndrome. Front Immunol. 2018;9:2683.PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat Fonseca VR, Agua-Doce A, Maceiras AR, Pierson W, Ribeiro F, Romão VC, et al. Human blood T fr cells are indicators of ongoing humoral activity not fully licensed with suppressive function. Sci Immunol. 2017;2:eaan1487.PubMedPubMedCentralCrossRef Fonseca VR, Agua-Doce A, Maceiras AR, Pierson W, Ribeiro F, Romão VC, et al. Human blood T fr cells are indicators of ongoing humoral activity not fully licensed with suppressive function. Sci Immunol. 2017;2:eaan1487.PubMedPubMedCentralCrossRef
35.
Zurück zum Zitat Shan Y, Qi C, Zhao J, Liu Y, Gao H, Zhao D, et al. Higher frequency of peripheral blood follicular regulatory T cells in patients with new onset ankylosing spondylitis. Clin Exp Pharmacol Physiol. 2015;42:154–61.PubMedCrossRef Shan Y, Qi C, Zhao J, Liu Y, Gao H, Zhao D, et al. Higher frequency of peripheral blood follicular regulatory T cells in patients with new onset ankylosing spondylitis. Clin Exp Pharmacol Physiol. 2015;42:154–61.PubMedCrossRef
36.
Zurück zum Zitat Chung Y, Tanaka S, Chu F, Nurieva RI, Martinez GJ, Rawal S, et al. Follicular regulatory T cells expressing Foxp3 and Bcl-6 suppress germinal center reactions. Nat Med. 2011;17:983–8.PubMedPubMedCentralCrossRef Chung Y, Tanaka S, Chu F, Nurieva RI, Martinez GJ, Rawal S, et al. Follicular regulatory T cells expressing Foxp3 and Bcl-6 suppress germinal center reactions. Nat Med. 2011;17:983–8.PubMedPubMedCentralCrossRef
37.
Zurück zum Zitat Shearer WT, Rosenblatt HM, Gelman RS, Oyomopito R, Plaeger S, Stiehm ER, et al. Lymphocyte subsets in healthy children from birth through 18 years of age: the pediatric AIDS Clinical Trials Group P1009 study. Basic Clin Immunol. 2003;112:8. Shearer WT, Rosenblatt HM, Gelman RS, Oyomopito R, Plaeger S, Stiehm ER, et al. Lymphocyte subsets in healthy children from birth through 18 years of age: the pediatric AIDS Clinical Trials Group P1009 study. Basic Clin Immunol. 2003;112:8.
38.
Zurück zum Zitat Italian primary immunodeficiencies strategic scientific committee. Transient hypogammaglobulinaemia of infancy: Recommendations for Diagnosis and Treatment. 2004; Italian primary immunodeficiencies strategic scientific committee. Transient hypogammaglobulinaemia of infancy: Recommendations for Diagnosis and Treatment. 2004;
39.
Zurück zum Zitat Miles J, Riches P. The determination of IgG subclass concentrations in serum by enzyme-linked immunosorbent assay: establishment of age-related reference ranges for cord blood samples, children aged 5-13 years and adults. Ann Clin Biochem. 1994;31:245–8.PubMedCrossRef Miles J, Riches P. The determination of IgG subclass concentrations in serum by enzyme-linked immunosorbent assay: establishment of age-related reference ranges for cord blood samples, children aged 5-13 years and adults. Ann Clin Biochem. 1994;31:245–8.PubMedCrossRef
40.
Zurück zum Zitat Lima FA, Moreira-Filho CA, Ramos PL, Brentani H, Lima LDA, Arrais M, et al. Decreased AIRE expression and global thymic hypofunction in Down syndrome. J Immunol. 2011;187:3422–30.PubMedCrossRef Lima FA, Moreira-Filho CA, Ramos PL, Brentani H, Lima LDA, Arrais M, et al. Decreased AIRE expression and global thymic hypofunction in Down syndrome. J Immunol. 2011;187:3422–30.PubMedCrossRef
41.
Zurück zum Zitat Choubey D, Moudgil KD. Interferons in autoimmune and inflammatory diseases: regulation and roles. J Interf Cytokine Res. 2011;31:857–65.CrossRef Choubey D, Moudgil KD. Interferons in autoimmune and inflammatory diseases: regulation and roles. J Interf Cytokine Res. 2011;31:857–65.CrossRef
42.
Zurück zum Zitat Waugh KA, Araya P, Pandey A, Jordan KR, Smith KP, Granrath RE, et al. Mass cytometry reveals global immune remodeling with multi-lineage hypersensitivity to type I interferon in Down syndrome. Cell Rep. 2019;29:1893–908 e4.PubMedPubMedCentralCrossRef Waugh KA, Araya P, Pandey A, Jordan KR, Smith KP, Granrath RE, et al. Mass cytometry reveals global immune remodeling with multi-lineage hypersensitivity to type I interferon in Down syndrome. Cell Rep. 2019;29:1893–908 e4.PubMedPubMedCentralCrossRef
43.
Zurück zum Zitat Pallikkuth S, Parmigiani A, Silva SY, George VK, Fischl M, Pahwa R, et al. Impaired peripheral blood T-follicular helper cell function in HIV-infected nonresponders to the 2009 H1N1/09 vaccine. Blood. 2012;120:985–93.PubMedPubMedCentralCrossRef Pallikkuth S, Parmigiani A, Silva SY, George VK, Fischl M, Pahwa R, et al. Impaired peripheral blood T-follicular helper cell function in HIV-infected nonresponders to the 2009 H1N1/09 vaccine. Blood. 2012;120:985–93.PubMedPubMedCentralCrossRef
44.
Zurück zum Zitat Long S, Ma L, Wang D, Shang X. High frequency of circulating follicular helper T cells is correlated with B cell subtypes in patients with ankylosing spondylitis. ExpTher Med. 2018;15:4578–86. Long S, Ma L, Wang D, Shang X. High frequency of circulating follicular helper T cells is correlated with B cell subtypes in patients with ankylosing spondylitis. ExpTher Med. 2018;15:4578–86.
45.
Zurück zum Zitat Coraglia A, Galassi N, Fernández Romero DS, Juri MC, Felippo M, Malbrán A, et al. Common variable immunodeficiency and circulating T FH. J Immunol Res. 2016;2016:1–10.CrossRef Coraglia A, Galassi N, Fernández Romero DS, Juri MC, Felippo M, Malbrán A, et al. Common variable immunodeficiency and circulating T FH. J Immunol Res. 2016;2016:1–10.CrossRef
46.
Zurück zum Zitat Vaziri H, Uchida I, Cohen D, Harley CB. Loss of telomeric DNA during aging of Normal and trisomy 21 human lymphocytes. Am J Hum Genet. 1993;52:661–7.PubMedPubMedCentral Vaziri H, Uchida I, Cohen D, Harley CB. Loss of telomeric DNA during aging of Normal and trisomy 21 human lymphocytes. Am J Hum Genet. 1993;52:661–7.PubMedPubMedCentral
47.
Zurück zum Zitat Koutsakos M, Nguyen THO, Kedzierska K. With a little help from T follicular helper friends: humoral immunity to influenza vaccination. J Immunol. 2019;202:360–7.PubMedCrossRef Koutsakos M, Nguyen THO, Kedzierska K. With a little help from T follicular helper friends: humoral immunity to influenza vaccination. J Immunol. 2019;202:360–7.PubMedCrossRef
48.
Zurück zum Zitat Avanzini MA, Monafo V, De Amici M, Burgio GR, Plebani A, Ugazio AG, et al. Letter to the editor: Humoral immunodeficiencies in Down syndrome: serum IgG subclass and antibody response to hepatitis B vaccine. Am J Med Genet. 2005;37:231–3.CrossRef Avanzini MA, Monafo V, De Amici M, Burgio GR, Plebani A, Ugazio AG, et al. Letter to the editor: Humoral immunodeficiencies in Down syndrome: serum IgG subclass and antibody response to hepatitis B vaccine. Am J Med Genet. 2005;37:231–3.CrossRef
49.
Zurück zum Zitat Joshi AY, Abraham RS, Snyder MR, Boyce TG. Immune evaluation and vaccine responses in Down syndrome: evidence of immunodeficiency? Vaccine. 2011;29:5040–6.PubMedPubMedCentralCrossRef Joshi AY, Abraham RS, Snyder MR, Boyce TG. Immune evaluation and vaccine responses in Down syndrome: evidence of immunodeficiency? Vaccine. 2011;29:5040–6.PubMedPubMedCentralCrossRef
Metadaten
Titel
A Prevalent CXCR3+ Phenotype of Circulating Follicular Helper T Cells Indicates Humoral Dysregulation in Children with Down Syndrome
verfasst von
Giorgio Ottaviano
Jolanda Gerosa
Micaela Santini
Pasqualina De Leo
Andrea Vecchione
Tatiana Jofra
Cristiana Trimarchi
Maurizio De Pellegrin
Massimo Agosti
Alessandro Aiuti
Maddalena Marinoni
Maria Pia Cicalese
Georgia Fousteri
Publikationsdatum
28.01.2020
Verlag
Springer US
Erschienen in
Journal of Clinical Immunology / Ausgabe 3/2020
Print ISSN: 0271-9142
Elektronische ISSN: 1573-2592
DOI
https://doi.org/10.1007/s10875-020-00755-0

Weitere Artikel der Ausgabe 3/2020

Journal of Clinical Immunology 3/2020 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Triglyzeridsenker schützt nicht nur Hochrisikopatienten

10.05.2024 Hypercholesterinämie Nachrichten

Patienten mit Arteriosklerose-bedingten kardiovaskulären Erkrankungen, die trotz Statineinnahme zu hohe Triglyzeridspiegel haben, profitieren von einer Behandlung mit Icosapent-Ethyl, und zwar unabhängig vom individuellen Risikoprofil.

Gibt es eine Wende bei den bioresorbierbaren Gefäßstützen?

In den USA ist erstmals eine bioresorbierbare Gefäßstütze – auch Scaffold genannt – zur Rekanalisation infrapoplitealer Arterien bei schwerer PAVK zugelassen worden. Das markiert einen Wendepunkt in der Geschichte dieser speziellen Gefäßstützen.

Vorsicht, erhöhte Blutungsgefahr nach PCI!

10.05.2024 Koronare Herzerkrankung Nachrichten

Nach PCI besteht ein erhöhtes Blutungsrisiko, wenn die Behandelten eine verminderte linksventrikuläre Ejektionsfraktion aufweisen. Das Risiko ist umso höher, je stärker die Pumpfunktion eingeschränkt ist.

Wie managen Sie die schmerzhafte diabetische Polyneuropathie?

10.05.2024 DDG-Jahrestagung 2024 Kongressbericht

Mit Capsaicin-Pflastern steht eine neue innovative Therapie bei schmerzhafter diabetischer Polyneuropathie zur Verfügung. Bei therapierefraktären Schmerzen stellt die Hochfrequenz-Rückenmarkstimulation eine adäquate Option dar.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.