Duodenal intraepithelial gamma/delta T cells and soluble CD8, neopterin, and beta 2-microglobulin in serum of IgA-deficient subjects with or without IgG subclass deficiency

Clin Exp Immunol. 1993 Oct;94(1):91-8. doi: 10.1111/j.1365-2249.1993.tb05983.x.

Abstract

Expression of the gamma/delta T cell receptor (TCR) on CD3+ intraepithelial lymphocytes (IELs) was studied by two-colour immunofluorescence in duodenal tissue sections from healthy (n = 6) or infection-prone (n = 7) subjects with selective IgA deficiency (IgAD), and subjects (n = 4) with combined IgAD and IgG subclass deficiency. TCR gamma/delta+ IEL proportions in selective IgAD subjects (median 6.3%, range 1.0-41%) and in those with combined deficiency (median 4.5%, range 1.2-33%) were well within the range (0.3-38%) for histologically normal controls (n = 11), but the healthy IgAD subgroup tended to show raised TCR gamma/delta+ IEL proportions (median 13.6%) compared with the other two subgroups. Also the number of TCR gamma/delta+ IELs per intestinal length unit was relatively high (median 13.9/mm) in the healthy IgAD subjects, and significantly raised (P < 0.03) compared with controls (median 3.2/mm). Paired staining revealed that most TCR gamma/delta+ IELs in both selective IgAD (98%) and combined deficiency (99%) were CD8-, and a large fraction (median 84% and 63%, respectively) expressed the V delta 1/J delta 1-encoded epitope. The total number of CD3+ IELs (mostly CD8+) was similar to controls. IgAD subjects, and especially the healthy subgroup, had significantly increased serum concentrations of soluble CD8 (P < 0.0002), neopterin (P < 0.005), and beta 2-microglobulin (P < 0.007), which was similar to our previous observations in common variable immunodeficiency, and probably reflected stimulation of cell-mediated immunity. In addition, the increased TCR gamma/delta+ IELs might reflect a component of compensatory surface protection in the healthy IgAD subgroup.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Biopterins / analogs & derivatives*
  • Biopterins / blood
  • CD3 Complex / analysis
  • CD4 Antigens / analysis
  • CD8 Antigens / blood*
  • Child
  • Child, Preschool
  • Duodenum / immunology*
  • Female
  • Humans
  • IgA Deficiency / blood*
  • IgG Deficiency / blood
  • Immunoglobulin G / classification
  • Male
  • Middle Aged
  • Neopterin
  • Receptors, Antigen, T-Cell, gamma-delta / analysis
  • T-Lymphocytes / immunology*
  • beta 2-Microglobulin / analysis*

Substances

  • CD3 Complex
  • CD4 Antigens
  • CD8 Antigens
  • Immunoglobulin G
  • Receptors, Antigen, T-Cell, gamma-delta
  • beta 2-Microglobulin
  • Biopterins
  • Neopterin