Lymphocyte subsets and adhesion molecules expression in heatstroke and heat stress

Departments of 1  Medicine, 2  Biological and Medical Research and 3  Neurosciences, King Faisal Specialist Hospital and Research Centre, Riyadh 11211, Saudi Arabia We examined the specificity of the recently reported alterations in circulating lymphocytes in heatstroke by determining lymphocyte sub...

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Veröffentlicht in:Journal of applied physiology (1985) 1998-05, Vol.84 (5), p.1615-1621
Hauptverfasser: Hammami, Muhammad M, Bouchama, Abderrezak, Shail, Essam, Aboul-Enein, Hassan Y, Al-Sedairy, Sultan
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container_end_page 1621
container_issue 5
container_start_page 1615
container_title Journal of applied physiology (1985)
container_volume 84
creator Hammami, Muhammad M
Bouchama, Abderrezak
Shail, Essam
Aboul-Enein, Hassan Y
Al-Sedairy, Sultan
description Departments of 1  Medicine, 2  Biological and Medical Research and 3  Neurosciences, King Faisal Specialist Hospital and Research Centre, Riyadh 11211, Saudi Arabia We examined the specificity of the recently reported alterations in circulating lymphocytes in heatstroke by determining lymphocyte subsets in 14 consecutive heatstroke patients before and after cooling and in 7 heat-stressed controls using single- or two-color immunofluorescence flow cytometry. The relationship with catecholamine levels was also studied. In heatstroke, percentages of T (CD3 + /CD19 ), T-helper (CD4 + /CD8 ), T-inactive [CD3 + /human leukocyte antigen-DR ], CD11a + , CD11c + , and CD44 + lymphocytes were significantly decreased, whereas percentages of T-suppressor-cytotoxic (CD8 + /CD4 ), natural killer (NK; CD3 /CD16 + or CD56 + ), CD3 + /CD16 + or CD56 + , and CD54 + lymphocytes were significantly increased, compared with 11 normal controls. The changes in the absolute numbers of lymphocyte subsets were in the same direction and were significant for T-helper, T-suppressor-cytotoxic, NK, CD3 + /CD16 + or CD56 + , and CD11c + lymphocytes. Milder but significant changes in percentages of T-helper, T-suppressor-cytotoxic, CD11c + , and CD44 + lymphocytes were seen in heat stress. Cooling was associated with partial or complete normalization, further derangement (CD11a + , CD11c + ), or overcorrection (NK, T-suppressor-cytotoxic, CD11b + ) of abnormal percentages of lymphocyte subsets. Norepinephrine levels were significantly elevated in heatstroke (4.7-fold) and heat stress (3.2-fold), but did not significantly correlate with lymphocyte subsets. We conclude that heatstroke is associated with significant changes in percentages and in absolute numbers of a wide range of circulating lymphocyte subsets that are not related to elevated catecholamine levels or totally normalized by cooling. Similar, albeit milder, changes are seen in heat stress, suggesting that the two syndromes represent a continuum. catecholamines; cooling; pilgrimage
doi_str_mv 10.1152/jappl.1998.84.5.1615
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The relationship with catecholamine levels was also studied. In heatstroke, percentages of T (CD3 + /CD19 ), T-helper (CD4 + /CD8 ), T-inactive [CD3 + /human leukocyte antigen-DR ], CD11a + , CD11c + , and CD44 + lymphocytes were significantly decreased, whereas percentages of T-suppressor-cytotoxic (CD8 + /CD4 ), natural killer (NK; CD3 /CD16 + or CD56 + ), CD3 + /CD16 + or CD56 + , and CD54 + lymphocytes were significantly increased, compared with 11 normal controls. The changes in the absolute numbers of lymphocyte subsets were in the same direction and were significant for T-helper, T-suppressor-cytotoxic, NK, CD3 + /CD16 + or CD56 + , and CD11c + lymphocytes. Milder but significant changes in percentages of T-helper, T-suppressor-cytotoxic, CD11c + , and CD44 + lymphocytes were seen in heat stress. 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The relationship with catecholamine levels was also studied. In heatstroke, percentages of T (CD3 + /CD19 ), T-helper (CD4 + /CD8 ), T-inactive [CD3 + /human leukocyte antigen-DR ], CD11a + , CD11c + , and CD44 + lymphocytes were significantly decreased, whereas percentages of T-suppressor-cytotoxic (CD8 + /CD4 ), natural killer (NK; CD3 /CD16 + or CD56 + ), CD3 + /CD16 + or CD56 + , and CD54 + lymphocytes were significantly increased, compared with 11 normal controls. The changes in the absolute numbers of lymphocyte subsets were in the same direction and were significant for T-helper, T-suppressor-cytotoxic, NK, CD3 + /CD16 + or CD56 + , and CD11c + lymphocytes. Milder but significant changes in percentages of T-helper, T-suppressor-cytotoxic, CD11c + , and CD44 + lymphocytes were seen in heat stress. Cooling was associated with partial or complete normalization, further derangement (CD11a + , CD11c + ), or overcorrection (NK, T-suppressor-cytotoxic, CD11b + ) of abnormal percentages of lymphocyte subsets. Norepinephrine levels were significantly elevated in heatstroke (4.7-fold) and heat stress (3.2-fold), but did not significantly correlate with lymphocyte subsets. We conclude that heatstroke is associated with significant changes in percentages and in absolute numbers of a wide range of circulating lymphocyte subsets that are not related to elevated catecholamine levels or totally normalized by cooling. 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Psychology</subject><subject>Fundamental immunology</subject><subject>Heat Stress Disorders - physiopathology</subject><subject>Heat Stroke - physiopathology</subject><subject>Humans</subject><subject>Immunobiology</subject><subject>Leukocyte Count</subject><subject>Lymphocyte Subsets - physiology</subject><subject>Lymphoid cells: ontogeny, maturation, markers, receptors, circulation and recirculation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Norepinephrine - metabolism</subject><subject>Saudi Arabia</subject><subject>T-Lymphocytes - physiology</subject><subject>Temperature</subject><issn>8750-7587</issn><issn>1522-1601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1r3DAQhkVJSbZp_0EDPoTQix3Ja62kY1iatrBQCOlZ6GMUO5U_Itk0_veRN8s2l5zEaJ53ZngQ-kpwQQgtrx_VMPiCCMELXhW0IBtCP6BVapU52WByglacUZwzytkZ-hTjI8akqig5RaeCspJjtkJ3u7kd6t7MI2Rx0hHGmKnOZsrWEJu-y9reg5k8xAyehwBx_9l0WQ1qjGPo_8KeX8os1Qn4jD465SN8Obzn6M_t9_vtz3z3-8ev7c0uNxUWY84BW2Y10VBx4Fw5RzhWhti1LgGUExgzjQXBTHFQhm4006K0jjltrAG9PkdXr3OH0D9NEEfZNtGA96qDfoqSCb4WDOMEVq-gCX2MAZwcQtOqMEuC5aJS7lXKRaXklaRyUZliF4f5k27BHkMHd6l_eeiraJR3QXWmiUesLAWlpPq_vW4e6n9NADnUc7Lo-4dZ3k7e38PzuFxw3CwH61Ls2_uxRL859AXwZaHl</recordid><startdate>19980501</startdate><enddate>19980501</enddate><creator>Hammami, Muhammad M</creator><creator>Bouchama, Abderrezak</creator><creator>Shail, Essam</creator><creator>Aboul-Enein, Hassan Y</creator><creator>Al-Sedairy, Sultan</creator><general>Am Physiological Soc</general><general>American Physiological Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980501</creationdate><title>Lymphocyte subsets and adhesion molecules expression in heatstroke and heat stress</title><author>Hammami, Muhammad M ; Bouchama, Abderrezak ; Shail, Essam ; Aboul-Enein, Hassan Y ; Al-Sedairy, Sultan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-8e0d7db1be48e88aff180ac1d3b2eeaf9007b09107a8eac56b7b92df7fbcdceb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Antigens, CD - immunology</topic><topic>Biological and medical sciences</topic><topic>Catecholamines - metabolism</topic><topic>Cell Adhesion Molecules - metabolism</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Heat Stress Disorders - physiopathology</topic><topic>Heat Stroke - physiopathology</topic><topic>Humans</topic><topic>Immunobiology</topic><topic>Leukocyte Count</topic><topic>Lymphocyte Subsets - physiology</topic><topic>Lymphoid cells: ontogeny, maturation, markers, receptors, circulation and recirculation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Norepinephrine - metabolism</topic><topic>Saudi Arabia</topic><topic>T-Lymphocytes - physiology</topic><topic>Temperature</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hammami, Muhammad M</creatorcontrib><creatorcontrib>Bouchama, Abderrezak</creatorcontrib><creatorcontrib>Shail, Essam</creatorcontrib><creatorcontrib>Aboul-Enein, Hassan Y</creatorcontrib><creatorcontrib>Al-Sedairy, Sultan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of applied physiology (1985)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hammami, Muhammad M</au><au>Bouchama, Abderrezak</au><au>Shail, Essam</au><au>Aboul-Enein, Hassan Y</au><au>Al-Sedairy, Sultan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lymphocyte subsets and adhesion molecules expression in heatstroke and heat stress</atitle><jtitle>Journal of applied physiology (1985)</jtitle><addtitle>J Appl Physiol (1985)</addtitle><date>1998-05-01</date><risdate>1998</risdate><volume>84</volume><issue>5</issue><spage>1615</spage><epage>1621</epage><pages>1615-1621</pages><issn>8750-7587</issn><eissn>1522-1601</eissn><coden>JAPHEV</coden><abstract>Departments of 1  Medicine, 2  Biological and Medical Research and 3  Neurosciences, King Faisal Specialist Hospital and Research Centre, Riyadh 11211, Saudi Arabia We examined the specificity of the recently reported alterations in circulating lymphocytes in heatstroke by determining lymphocyte subsets in 14 consecutive heatstroke patients before and after cooling and in 7 heat-stressed controls using single- or two-color immunofluorescence flow cytometry. The relationship with catecholamine levels was also studied. In heatstroke, percentages of T (CD3 + /CD19 ), T-helper (CD4 + /CD8 ), T-inactive [CD3 + /human leukocyte antigen-DR ], CD11a + , CD11c + , and CD44 + lymphocytes were significantly decreased, whereas percentages of T-suppressor-cytotoxic (CD8 + /CD4 ), natural killer (NK; CD3 /CD16 + or CD56 + ), CD3 + /CD16 + or CD56 + , and CD54 + lymphocytes were significantly increased, compared with 11 normal controls. The changes in the absolute numbers of lymphocyte subsets were in the same direction and were significant for T-helper, T-suppressor-cytotoxic, NK, CD3 + /CD16 + or CD56 + , and CD11c + lymphocytes. Milder but significant changes in percentages of T-helper, T-suppressor-cytotoxic, CD11c + , and CD44 + lymphocytes were seen in heat stress. Cooling was associated with partial or complete normalization, further derangement (CD11a + , CD11c + ), or overcorrection (NK, T-suppressor-cytotoxic, CD11b + ) of abnormal percentages of lymphocyte subsets. Norepinephrine levels were significantly elevated in heatstroke (4.7-fold) and heat stress (3.2-fold), but did not significantly correlate with lymphocyte subsets. We conclude that heatstroke is associated with significant changes in percentages and in absolute numbers of a wide range of circulating lymphocyte subsets that are not related to elevated catecholamine levels or totally normalized by cooling. Similar, albeit milder, changes are seen in heat stress, suggesting that the two syndromes represent a continuum. catecholamines; cooling; pilgrimage</abstract><cop>Bethesda, MD</cop><pub>Am Physiological Soc</pub><pmid>9572807</pmid><doi>10.1152/jappl.1998.84.5.1615</doi><tpages>7</tpages></addata></record>
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identifier ISSN: 8750-7587
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source MEDLINE; American Physiological Society; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Antigens, CD - immunology
Biological and medical sciences
Catecholamines - metabolism
Cell Adhesion Molecules - metabolism
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Heat Stress Disorders - physiopathology
Heat Stroke - physiopathology
Humans
Immunobiology
Leukocyte Count
Lymphocyte Subsets - physiology
Lymphoid cells: ontogeny, maturation, markers, receptors, circulation and recirculation
Male
Middle Aged
Norepinephrine - metabolism
Saudi Arabia
T-Lymphocytes - physiology
Temperature
title Lymphocyte subsets and adhesion molecules expression in heatstroke and heat stress
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