Dominant T cells in idiopathic nephrotic syndrome of childhood

Dominant T cells in idiopathic nephrotic syndrome of childhood. Because of several studies, idiopathic nephrotic syndrome (INS) of childhood is suspected to have an immunologic pathogenesis with T cells playing a major role. To investigate this hypothesis further, we studied the diversity of the CDR...

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Veröffentlicht in:Kidney international 2000-02, Vol.57 (2), p.510-517
Hauptverfasser: Frank, Carola, Herrmann, Martin, Fernandez, Stefany, Dirnecker, Diemuth, Böswald, Michael, Kolowos, Wasilis, Ruder, Hans, Haas, Johannes-Peter
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container_end_page 517
container_issue 2
container_start_page 510
container_title Kidney international
container_volume 57
creator Frank, Carola
Herrmann, Martin
Fernandez, Stefany
Dirnecker, Diemuth
Böswald, Michael
Kolowos, Wasilis
Ruder, Hans
Haas, Johannes-Peter
description Dominant T cells in idiopathic nephrotic syndrome of childhood. Because of several studies, idiopathic nephrotic syndrome (INS) of childhood is suspected to have an immunologic pathogenesis with T cells playing a major role. To investigate this hypothesis further, we studied the diversity of the CDR3 region of the T-cell receptor (TCR) β;-chain from peripheral T cells isolated from patients with INS. The study was performed over a three-year period to obtain longitudinal data on the repertoire of peripheral T cells. mRNA from peripheral mononuclear cells (PBMCs) of seven INS patients and two healthy controls (NHD) was prepared and analyzed for CDR3 length polymorphism of TCR β;-chain by spectratyping. All INS patients presented individually skewed spectratype histograms in at least one Vβ;-family. Patients suffering from a frequent relapsing course of INS or a focal global sclerosis showed some alterations to persist in all samples isolated in the observation period (up to 3 years). In addition, sequence analyses of the β;-chain of the TCR CDR3 region confirmed clonal expansion of peripheral T cells in those patients who had displayed spectratype alterations. The data give strong evidence for an direct involvement of CD8+ T cells in the complicated course of INS.
doi_str_mv 10.1046/j.1523-1755.2000.00870.x
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Because of several studies, idiopathic nephrotic syndrome (INS) of childhood is suspected to have an immunologic pathogenesis with T cells playing a major role. To investigate this hypothesis further, we studied the diversity of the CDR3 region of the T-cell receptor (TCR) β;-chain from peripheral T cells isolated from patients with INS. The study was performed over a three-year period to obtain longitudinal data on the repertoire of peripheral T cells. mRNA from peripheral mononuclear cells (PBMCs) of seven INS patients and two healthy controls (NHD) was prepared and analyzed for CDR3 length polymorphism of TCR β;-chain by spectratyping. All INS patients presented individually skewed spectratype histograms in at least one Vβ;-family. Patients suffering from a frequent relapsing course of INS or a focal global sclerosis showed some alterations to persist in all samples isolated in the observation period (up to 3 years). 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Because of several studies, idiopathic nephrotic syndrome (INS) of childhood is suspected to have an immunologic pathogenesis with T cells playing a major role. To investigate this hypothesis further, we studied the diversity of the CDR3 region of the T-cell receptor (TCR) β;-chain from peripheral T cells isolated from patients with INS. The study was performed over a three-year period to obtain longitudinal data on the repertoire of peripheral T cells. mRNA from peripheral mononuclear cells (PBMCs) of seven INS patients and two healthy controls (NHD) was prepared and analyzed for CDR3 length polymorphism of TCR β;-chain by spectratyping. All INS patients presented individually skewed spectratype histograms in at least one Vβ;-family. Patients suffering from a frequent relapsing course of INS or a focal global sclerosis showed some alterations to persist in all samples isolated in the observation period (up to 3 years). 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Because of several studies, idiopathic nephrotic syndrome (INS) of childhood is suspected to have an immunologic pathogenesis with T cells playing a major role. To investigate this hypothesis further, we studied the diversity of the CDR3 region of the T-cell receptor (TCR) β;-chain from peripheral T cells isolated from patients with INS. The study was performed over a three-year period to obtain longitudinal data on the repertoire of peripheral T cells. mRNA from peripheral mononuclear cells (PBMCs) of seven INS patients and two healthy controls (NHD) was prepared and analyzed for CDR3 length polymorphism of TCR β;-chain by spectratyping. All INS patients presented individually skewed spectratype histograms in at least one Vβ;-family. Patients suffering from a frequent relapsing course of INS or a focal global sclerosis showed some alterations to persist in all samples isolated in the observation period (up to 3 years). In addition, sequence analyses of the β;-chain of the TCR CDR3 region confirmed clonal expansion of peripheral T cells in those patients who had displayed spectratype alterations. The data give strong evidence for an direct involvement of CD8+ T cells in the complicated course of INS.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10652027</pmid><doi>10.1046/j.1523-1755.2000.00870.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Age of Onset
AIDS/HIV
Amino Acid Sequence
Biological and medical sciences
CD4-Positive T-Lymphocytes - chemistry
CD4-Positive T-Lymphocytes - immunology
CD8-Positive T-Lymphocytes - chemistry
CD8-Positive T-Lymphocytes - immunology
CDR3 length polymorphism
Child
childhood nephrotic syndrome
Complementarity Determining Regions
focal global sclerosis
Gene Expression - immunology
Genes, T-Cell Receptor beta - genetics
Genes, T-Cell Receptor beta - immunology
Glomerulonephritis
Humans
immune system
Immunoglobulin Variable Region - genetics
Medical sciences
Molecular Sequence Data
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
Nephrotic Syndrome - etiology
Nephrotic Syndrome - immunology
Nephrotic Syndrome - physiopathology
Polymorphism, Genetic
Receptors, Antigen, T-Cell, alpha-beta - chemistry
Receptors, Antigen, T-Cell, alpha-beta - genetics
Receptors, Antigen, T-Cell, alpha-beta - immunology
Sequence Analysis, DNA
T cell receptor
T-Lymphocyte Subsets - immunology
title Dominant T cells in idiopathic nephrotic syndrome of childhood
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